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

John Thomas Kidwell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447694856

John Thomas Kidwell is a Colorectal Surgery (Proctology) in Scottsdale, Arizona. Graduated from Texas Tech University Health Science Center School of Medicine in 2013, 13 years ago. Practices with Texas Tech University Health Sciences Center Lubbock, a 368-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
AZ
In the registry since
2013
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 49593 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447694856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2013
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Texas Tech University Health Sciences Center Lubbock — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scottsdale