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MR. DAVID EUGENE TISDALE R-PCA
NPI 1396835112
Physician Assistant in Massena, NY

Active since October 13, 2006
1 HOSPITAL DR, MASSENA, NY 13662(315) 769-4200 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. David Eugene Tisdale R-pca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID EUGENE TISDALE R-PCA (NPI 1396835112) is an individual physician assistant in Massena, New York, licensed in New York (002506) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1396835112
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID EUGENE TISDALECredential: R-PCA
Location Address1 HOSPITAL DRMassena, NY 13662-1056
Mailing Address1 Hospital DrMassena, NY 13662-1056 · (315) 769-4200
Phone(315) 769-4200
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1396835112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 002506
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 HOSPITAL DR, Massena, NY 13662
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Other Identifiers 4

Medicare UPINR85715NY
Medicaid03773219NY
Medicare PINJ400141537NY
Other02506NY · Pa Liscence

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSALIND SIA MARIANO M.D.
Specialist
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-4222
DR. MANUEL VAZQUEZ-SENIOR MD
Anesthesiology
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 764-1711
PAUL EDWARD AUGER CRNA
Nurse Anesthetist, Certified Registered
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-4233
MR. DANE A BRENNO CRNA
Nurse Anesthetist, Certified Registered
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-4347
MICHAEL ANDREW CASARES M.D.
Emergency Medicine
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-3790
MS. HELENA MARIE PARISH LCSW
Social Worker (Clinical)
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 764-1711
EILEEN MARY FREGOE PT
Physical Therapist
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-4336
MASSENA MEMORIAL HOSPITAL CRNA
General Acute Care Hospital
1 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-4347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Tisdale's NPI number?

The NPI number for David Tisdale is 1396835112. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is David Tisdale located?

David Tisdale practices at 1 Hospital Dr, Massena, NY 13662. The listed phone number is (315) 769-4200.

What is David Tisdale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for David Tisdale was last updated on February 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.