Deborah Tisdale, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00016984 Issued in AL

Practice address

1843 NW 96TH Ave
Plantation, FL 33322-5626

Phone

(954) 472-2512

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clanton Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Clanton, AL
  • NPI 1669428090
  NPD (past)
• Demopolis Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Demopolis, AL
  • NPI 1255378865
  NPD (past)
• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1013081249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 NW 96TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225626",
            "telephone_number": "954-472-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 NW 96TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225626",
            "telephone_number": "954-472-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISDALE",
        "first_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00016984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Behavior L.L.C
• Thrive Mental Health and Substance Abuse Recovery Support Services
• Thrive Specialty Pharmacy, LLC
• Bhavya Tara Thuremella, DO
• Taylor Tischhauser, DO
• TJ Hand and Upper Extremity Surgery PLLC
• TLN Professional Services PLLC
• Carly S Tokar, D.C.
• Toland L Ash Mdpa
• Alexander Tolbert

• Emergency Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.