Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Hollis Tidmore, MD
Surgery Physician in Houston, MO · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1962473975
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Hollis Tidmore
Credential MD
Sex Male
Practice address 1422 S Sam Houston Blvd, Houston, MO, 65483
Phone (417) 967-1252
Fax (417) 967-0417
Enumeration date Jan 28, 2006
Last updated in NPPES Jan 31, 2023
Taxonomy & licenses
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 2009005897 (MO) Secondary
2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License 2009005897 (MO) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207050501 | Medicaid | MO | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Hollis Tidmore practice?
The practice location on file with NPPES is in Houston, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Hollis Tidmore?
The National Provider Identifier (NPI) for Hollis Tidmore is 1962473975, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Mercy Clinic-Springfield Communities Rural Health Clinic/Center · Houston, MO NPI 1487783296 Mercy St Francis Hospital Rural Health Clinic/Center · Houston, MO NPI 1548608748 Michel Anderson Nurse Practitioner · Houston, MO NPI 1174973879 Brigitte Shaffer Family Nurse Practitioner · Houston, MO NPI 1407352594 Texas County Memorial Hospital Clinic/Center · Houston, MO NPI 1588407068
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-31.