Shayna M Tisdall in Greenwood Village - Physician Assistant
Shayna M Tisdall - NPI 1023223278
Shayna M Tisdall is a Physician Assistant in Greenwood Village, Colorado. Shayna M Tisdall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shayna M Tisdall is 1023223278. The last update date is 2016-03-07.
Shayna M Tisdall's current location address is 5200 Dtc Pkwy, Greenwood Village, Colorado. You can contact this provider via phone number 3037450000 and fax number 3037733101. The mailing address for Shayna M Tisdall is 5200 Dtc Pkwy, Greenwood Village, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shayna M Tisdall |
|---|---|
| Address | 5200 Dtc Pkwy, Greenwood Village, Colorado |
| Phone Number | 3037450000 |
| Fax Number | 3037733101 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1023223278 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2016-03-07 |
Provider Mailing Address Detail
| Address | 5200 Dtc Pkwy |
|---|---|
| City | Greenwood Village |
| State | Colorado (CO) |
| Post Code | 801112709 |
| Phone Number | 3037450000 |
| Fax Number | 3037733101 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA2350 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31187358 | CO | -- | |
| 19216 | CO | KAISER COMMERCIAL NUMBER |
Post Comment/ Review Below
What is the Shayna M Tisdall's unique identification number?
The Shayna M Tisdall has been assigned the NPI (National Provider Identifier) Number 1023223278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Shayna M Tisdall's facilities are geographically located?
The facilities of Shayna M Tisdall are physically situated at the following location: 5200 Dtc Pkwy, Greenwood Village, CO, 801112709.
What is Shayna M Tisdall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shayna M Tisdall is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Shayna M Tisdall receive its 1023223278 assignment from the Centers for Medicare & Medicaid Services?
The Shayna M Tisdall was assigned its 1023223278 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date was the information pertaining to Shayna M Tisdall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shayna M Tisdall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-07.