Registry data as of Aug 27, 2026

Douglas Tidwell, CCP

Perfusionist · Kettering, OH

Douglas Tidwell, CCP is a perfusionist with a practice address in Kettering, Ohio, and NPI 1265672505, issued on Feb 26, 2009. Check the license with the Ohio board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, loaded Aug 27, 2026 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1265672505
Name
Douglas Tidwell
Credential
CCP
Primary taxonomy
Perfusionist 242T00000X
Practice location
580 Lincoln Park Blvd, Kettering, OH 45429
Phone
(937) 297-6800
Enumerated
Feb 26, 2009
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 580 Lincoln Park Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Holly Broach, OTR/LOccupational Therapist1992123608
  2. Sharon Halter, CCPPerfusionist1548400880
  3. Jeffrey Hoffman, M.D.Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician1831177872
  4. Ron Johnson, MDPlastic and Reconstructive Surgery Physician1093771081
  5. Michael La Nou, PAPhysician Assistant1205948452
  6. Aaron Siefker, CCPPerfusionist1306091350

Verify Douglas Tidwell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Ohio board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Find the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Perfusionist providers in Ohio

There are 35 perfusionist records in Ohio. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 35 in Ohio → Every provider in Kettering →

Other perfusionist records in Ohio

  1. Kevin BelmontMiddletown, OH1134883911
  2. Mia Bennett, CCPLima, OH1437996097
  3. Mark Burger, CCPDayton, OH1578903209
  4. Jennifer Connell, CCPCleveland, OH1497678205
  5. Brian CrawfordKettering, OH1710126255
  6. Michele Edgington, C.C.P.Mayfield Hts, OH1003022260
  7. Shawn EllisKettering, OH1700025244
  8. Ronald Furgales, PERFCleveland, OH1093985335
  9. Kenneth GillKettering, OH1275772717
  10. Greg Grant, CCPDayton, OH1679715114

Common questions

What is Douglas Tidwell, CCP's NPI number?

Douglas Tidwell, CCP's National Provider Identifier (NPI) is 1265672505, issued on Feb 26, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Douglas Tidwell, CCP located?

The NPPES record lists a practice address at 580 Lincoln Park Blvd, Kettering, OH, 45429. Phone: (937) 297-6800. Providers update this record themselves, so call before visiting.

How can I verify Douglas Tidwell, CCP's license?

Search the Ohio board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.