Lucas Tidwell, MD

Individual Active
NPI 1942837588
Surgery Physician Novi, MI

Lucas Tidwell, MD holds NPI 1942837588, with a primary taxonomy of surgery physician and a practice location in Novi, MI. The number was issued on March 24, 2020 and the NPPES record was last updated on September 28, 2026. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X 4301514131 (MI)

Practice locations

26850 Providence Pkwy Ste 504
Novi, MI 48374-1267
Phone: (248) 662-4333
22250 Providence Dr Ste 206
Southfield, MI 48075-6210
Phone: (248) 662-4333

Local context

Active NPPES records list 657 providers with surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 102 of them within 10 miles.

The same primary taxonomy is listed by 1,752 in Michigan and 45,118 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Nearby providers with the same primary taxonomy

Record history

Name on record
Lucas Tidwell
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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