Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE R TIDERINGTON, P.A-C
ActiveMACKENZIE R TIDERINGTON, P.A-C is a Physician Assistant healthcare provider located in DAYTON, Ohio. NPI 1114577103 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DAYTON, OH
Registration Details
- NPI Number
- 1114577103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2019 (6.922932389942 yrs)
- Last Updated
- Dec 4, 2022
- License
-
50.006159RX (OH)
Practice Information
- Address
-
4160 LITTLE YORK RD STE 10DAYTON, OH, 454145803Browse OH providers · Browse ZIP 45414
- Phone
- 9374159100
- Fax
- 9374159191
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| PRAMILA J BHARWANI | PA-C | 1841295086 |
| KATHERINE ANN MATTINGLY | PA-C | 1699774174 |
| THOMAS C MILLER | P. A. | 1912909383 |
| MRS. RACHEL ANN RIGDON | PA-C | 1659351708 |
| MICHAEL W STOGSDILL | PA-C | 1871573352 |
| JILL RENAE GULCZINSKI | PA-C | 1508836875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.