1. Home
  2. Directory
  3. Indiana
  4. Evansville
  5. Dermatology
  6. NPI Profile

MARY TISSERAND M.D.
NPI 1801886924
Dermatology - Procedural Dermatology in Evansville, IN

Active since October 28, 2005
3700 BELLEMEADE AVE, SUITE 200, EVANSVILLE, IN 47714(812) 476-1379 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Tisserand M.d. NPPES

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

MARY TISSERAND M.D. (NPI 1801886924) is an individual procedural dermatology provider in Evansville, Indiana, licensed in Indiana (01037184) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1801886924
Entity TypeIndividualFemale
Primary Taxonomy207NS0135X
Provider Legal NameMARY TISSERANDCredential: M.D.
Location Address3700 BELLEMEADE AVE, SUITE 200Evansville, IN 47714-0102
Mailing Address3700 Bellemeade Ave, Suite 200Evansville, IN 47714-0102 · (812) 476-1379
Phone(812) 476-1379
Sole ProprietorYes
Enumeration DateOctober 28, 2005
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1801886924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in IN · 01037184
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X · License 01037184 (IN)
3700 BELLEMEADE AVE, Evansville, IN 47714
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINEO3773IN
Medicare PIN530280IN

Other Providers at the Same Location NPPES 17

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

ANATOMIC LABORATORY OF THE TRI-STATE, LLC
Clinical Medical Laboratory
3700 BELLEMEADE AVE, SUITE 102
EVANSVILLE, IN 47714
Vanderburgh County (812) 437-2737
EVANSVILLE INTEGRATIVE MEDICINE PC
Family Medicine
3700 BELLEMEADE AVE, STE 105
EVANSVILLE, IN 47714
Vanderburgh County (812) 401-4222
JULIE MARIE COLLINS DDS
Dentist (Pediatric Dentistry)
3700 BELLEMEADE AVE, SUITE 122
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4000
DR. THOMAS KENNETH HUPFER DPM
Podiatrist (Foot Surgery)
3700 BELLEMEADE AVE, SUITE 117
EVANSVILLE, IN 47714
Vanderburgh County (812) 475-8900
MS. SHERYL A ANDIS MSSW; LCSW; LMFT
Social Worker (Clinical)
3700 BELLEMEADE AVE, STE 110
EVANSVILLE, IN 47714
Vanderburgh County (812) 477-2350
TOTAL FAMILY CARE, PC
Family Medicine
3700 BELLEMEADE AVE, SUITE 119
EVANSVILLE, IN 47714
Vanderburgh County (812) 479-3834
DR. LAURA J MARBURGER MD
Pediatrics
3700 BELLEMEADE AVE, STE 117
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-7254
MARY E TISSERAND MD PC
Dermatology (Procedural Dermatology)
3700 BELLEMEADE AVE, STE 200
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-1379

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 Mary Tisserand's NPI number?

The NPI number for Mary Tisserand is 1801886924. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Mary Tisserand located?

Mary Tisserand practices at 3700 Bellemeade Ave Suite 200, Evansville, IN 47714. The listed phone number is (812) 476-1379.

What is Mary Tisserand's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Mary Tisserand was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.