Jonathan M Tisdell in Worcester - Clinical Neurophysiology
Jonathan M Tisdell - NPI 1528235447
Jonathan M Tisdell is a Clinical Neurophysiology in Worcester, Massachusetts. Jonathan M Tisdell practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Jonathan M Tisdell is 1528235447. The last update date is 2020-12-21.
Jonathan M Tisdell's current location address is 123 Summer St # 695, Worcester, Massachusetts. You can contact this provider via phone number 5083639030 and fax number 5083639037. The mailing address for Jonathan M Tisdell is 123 Summer St # 695, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan M Tisdell |
|---|---|
| Address | 123 Summer St # 695, Worcester, Massachusetts |
| Phone Number | 5083639030 |
| Fax Number | 5083639037 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528235447 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2020-12-21 |
Provider Mailing Address Detail
| Address | 123 Summer St # 695 |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16081216 |
| Phone Number | 5083639030 |
| Fax Number | 5083639037 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 248639 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110092622A | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jonathan M Tisdell?
The Jonathan M Tisdell has been issued the NPI (National Provider Identifier) 1528235447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jonathan M Tisdell's facilities are situated?
The facilities of Jonathan M Tisdell are physically located at the following address: 123 Summer St # 695, Worcester, MA, 16081216.
What is Jonathan M Tisdell's area of expertise and its corresponding taxonomy classification?
The Jonathan M Tisdell's field of specialization is Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1528235447 to Jonathan M Tisdell?
The Centers for Medicare & Medicaid Services assigned the 1528235447 to Jonathan M Tisdell on 2008-05-09.
When was the Jonathan M Tisdell's information last updated?
The Jonathan M Tisdell's information was last updated on 2020-12-21.