Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Edward Tidwell, MD

Individual provider Orthopaedic Surgery Physician · NPI 1184885519

John Edward Tidwell, MD is an Orthopedic Surgery in Phoenix, Arizona. Graduated from Medical College of Georgia School of Medicine in 2008, 18 years ago. Practices with Sonoran Orthopaedic Trauma Surgeons, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Trained at
Medical College of Georgia School of Medicine
Licensed in
AZ
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

702 E Bell Rd Ste 117
Phoenix, AZ 85022-6648
Phone: (480) 874-2040
Fax: (480) 874-2041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 — (480) 874-2040
  • 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 — (480) 874-2040

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 58407 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 58407 (AZ)

Record details

NPI number1184885519
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2008
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address3126 N Civic Center Plz, Scottsdale, AZ 85251-6912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Sonoran Orthopaedic Trauma Surgeons — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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