| Mr David Eugene Tisdale, R-PCA | |
|
1 Hospital Dr, Massena, NY 13662-1056 | |
| (315) 769-4200 | |
| Not Available |
| Full Name | Mr David Eugene Tisdale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Hospital Dr, Massena, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396835112 | NPI | - | NPPES |
| 02506 | Other | NY | PA LISCENCE |
| 03773219 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002506 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Eugene Tisdale, R-PCA 1 Hospital Dr, Massena, NY 13662-1056 Ph: (315) 769-4200 | Mr David Eugene Tisdale, R-PCA 1 Hospital Dr, Massena, NY 13662-1056 Ph: (315) 769-4200 |
Katherine Cox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Massena, NY 13662 Phone: 518-368-7901 | |
Brenda L Crowder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Massena, NY 13662 Phone: 315-764-1711 | |
Camryn Peets, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 190 Harte Haven Plz, Massena, NY 13662 Phone: 315-957-3641 | |
Laura Marie Goldhar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, Massena, NY 13662 Phone: 315-764-1121 Fax: 855-279-7911 | |
Megan Parmelee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Massena, NY 13662 Phone: 315-769-4200 | |
Christopher A. Dodge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17 Hospital Drive, Bushnell Medical Building, Office #1, Massena, NY 13662 Phone: 315-705-6564 Fax: 315-705-6567 |