ROSS E TISRON NP
NPI 1447204896
Nurse Practitioner in Kalamazoo, MI

Q: What is Ross Tisron's NPI number?

The NPI number for Ross Tisron is 1447204896. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Ross Tisron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ross Tisron was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2006

200 N PARK ST, WEST MICHIGAN CANCER CENTER, KALAMAZOO, MI 49007(269) 382-2500(269) 373-7478 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ross E Tisron Np NPPES

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

ROSS E TISRON NP (NPI 1447204896) is an individual nurse practitioner in Kalamazoo, Michigan, licensed in Michigan (4704162218) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1447204896

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameROSS E TISRONCredential: NP

Location Address200 N PARK ST, WEST MICHIGAN CANCER CENTERKalamazoo, MI 49007-3731

Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 341-7806 · Fax (269) 341-8743

Phone(269) 382-2500

Fax(269) 373-7478

Sole ProprietorNo

Enumeration DateMay 20, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1447204896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704162218

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

200 N PARK ST, Kalamazoo, MI 49007

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Other Identifiers 1

Medicaid4868770MI

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.

HEMASRI TOKALA MD

Internal Medicine (Hematology & Oncology)