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

Tyler Tidwell, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1629462635

Tyler Tidwell, DPM is a Podiatry in Newburgh, Indiana. Qualified in 2016, 10 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
10
Licensed in
IN, KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4233 Gateway Blvd
Newburgh, IN 47630-8900
Phone: (812) 858-5786
Fax: (812) 490-4512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Merritt Dr, Henderson, KY 42420-2788 — (270) 827-0064

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 07001297A (IN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 41000347A (IN)
Podiatrist Taxonomy 213E00000X · Licence 244018 (KY)

Record details

NPI number1629462635
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESNovember 19, 2019
Mailing addressPo Box 1510, Evansville, IN 47706-1510

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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