Jerry Tishman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3751 Issued in FL

Practice address

8177 Glades Rd
Suite 24
Boca Raton, FL 33434-4071

Phone

(561) 487-7200

Fax

(561) 487-7229

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tishman & Tishman PA

  • Chiropractor
  • Boca Raton, FL
  • NPI 1265696645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1679556393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "SUITE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-487-7200",
            "fax_number": "561-487-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "SUITE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-487-7200",
            "fax_number": "561-487-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISHMAN",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FL",
            "identifier": "88038",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariela Tineo
• Tiffany Rae Tino, COTA
• Miesha Meriah Tipton, APRN
• Miriam Tirschwell
• Tishman & Tishman PA
• Titan Laboratories Inc
• Jenya Titova, PA-C
• TLC Coaching & Counseling, Inc
• TLC Concierge Mobile Lab LLC
• TLC Medical Solutions

• Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.