DEBORAH TISDALE (NPI# 1013081249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013081249 |
| Entity Type | Individual |
| Full Name | DEBORAH TISDALE |
| Credential | MD |
| Practice Address |
1843 Nw 96th Ave Plantation FL 33322-5626 |
| Practice Telephone | 9544722512 |
| Mailing Telephone | 9544722512 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 00016984 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1843 NW 96TH AVE |
| City | PLANTATION |
| State | FL |
| Zip Code | 33322-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1598305781 | Rxspeck's LLC | Technician/Technologist | 1860 N Pine Island Rd, 105, Plantation, FL 33322 | 2020-01-15 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1134644537 | Gregs Recovery Group | Substance Abuse Rehabilitation Facility | 2045 N University Drive, Sunrise, FL 33322 | 2017-08-07 |
| 1538699640 | Enriquillo Bencosme | Contractor | 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 | 2017-06-13 |
| 1346789633 | Herline Saintcius | Occupational Therapy Assistant | 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 | 2017-02-20 |
| 1649719378 | Dana Malzahn | Nurse Anesthetist, Certified Registered | 7700 West Sunrise Blvd, Plantation, FL 33322 | 2017-02-14 |
| 1548614134 | Melissa Bridges | Counselor | 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 | 2016-04-20 |
| 1386005353 | Laura Hutira | Physical Therapist | 1825 N Pine Island Rd, Plantation, FL 33322 | 2016-03-17 |
| Find all providers in zip 33322 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831417146 | Kevan M. Zipin | Emergency Medicine | 8201 W. Broward Blvd., Plantation, FL 33324 | 2010-05-11 |
| 1477716645 | Jason Gamez | Emergency Medicine | 401 Nw 2nd Ave., Plantation General Hospital, Plantation, FL 33317-2835 | 2008-07-08 |
| 1184845646 | Kevin M Boehm | Emergency Medicine | 7700 W Sunrise Blvd # 200, Plantation, FL 33322-4113 | 2007-05-01 |
| 1336244698 | Arold J. Augustin | Emergency Medicine | 4301 W Sunrise Blvd, Plantation, FL 33313-6749 | 2006-09-13 |
| 1043237514 | Bart Keith Gershenbaum | Emergency Medicine | 220 Sw 84th Ave Ste 201, Plantation, FL 33324-2729 | 2006-07-17 |
| 1154366623 | Sat P Punyani | Emergency Medicine | 11613 Nw 5th St, Plantation, FL 33325-1908 | 2006-06-18 |
| 1689195406 | Chandelle Raza-rodriguez | Emergency Medicine | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2017-06-30 |
| 1235660416 | Colin Hagen | Emergency Medicine | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2017-03-21 |
| 1134574544 | Julian Flores | Emergency Medicine | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2016-05-04 |
| 1194101618 | Prudential Urgent Care & Diagnostic, Inc. | Emergency Medicine | 4101 Nw 3rd Ct, Suite 3, Plantation, FL 33317-2857 | 2015-08-06 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33322 |
Please comment or provide details below to improve the information on DEBORAH TISDALE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.