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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW TISHIM
NPI 1477143329
Physician Assistant in Little Rock Afb, AR

Active since January 25, 2021
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099(501) 987-2932 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 23, 2026, Jun 21, 2023, Jul 14, 2021 and 1 more (4 updates tracked since 2021).

About Andrew Tishim NPPES

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

ANDREW TISHIM (NPI 1477143329) is an individual physician assistant in Little Rock Afb, Arkansas and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1477143329
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW TISHIM
Location Address1090 ARNOLD DRLittle Rock Afb, AR 72099-4933
Mailing Address1090 Arnold DrLittle Rock Afb, AR 72099-4933 · (501) 987-2932
Phone(501) 987-2932
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1477143329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1090 ARNOLD DR, Little Rock Afb, AR 72099
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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.

MELRITA MAECHEL JOHNSON LCSW
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-3080
MRS. TANYA NASHEL MILLER ADC
Counselor (Addiction (Substance Use Disorder))
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Pulaski County (501) 987-7338
COURTNEY MCCULLEY PHARMD.
Pharmacist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-7446
DR. SHARIFA FREIGHTMAN PH.D.
Psychologist (Clinical)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-3080
CARA D ROTH LCSW
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-8811
KELLY LAWRENCE BSN, RN
Registered Nurse (Case Management)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-8811
TAYLOR FLESHMAN RD
Dietitian, Registered
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-2708
MARY EILEEN KELLY
Dental Hygienist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-7304

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 Andrew Tishim's NPI number?

The NPI number for Andrew Tishim is 1477143329. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Andrew Tishim located?

Andrew Tishim practices at 1090 Arnold Dr, Little Rock Afb, AR 72099. The listed phone number is (501) 987-2932.

What is Andrew Tishim'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 Andrew Tishim was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.