SARA ENID TISHERMAN (NPI# 1477015063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477015063 |
| Entity Type | Individual |
| Full Name | SARA ENID TISHERMAN |
| Practice Address |
2145 N Fairfield Rd Beavercreek OH 45431-2580 |
| Practice Telephone | 9377024031 |
| Practice Fax Number | 9377024039 |
| Mailing Telephone | 9377024031 |
| Mailing Fax Number | 9377024039 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2145 N FAIRFIELD RD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984570 | Stephen S Humphrey | Urology | 2145 N Fairfield Rd, Ste B, Beavercreek, OH 45431-2580 | 2005-07-07 |
| 1699237057 | Allyson K Halderman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2019-04-04 |
| 1306308986 | Adam Glendon Bussey | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2019-04-03 |
| 1083176697 | Matthew Ralston Yeager | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2019-04-02 |
| 1760943534 | Tiana Michele Oswill | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2019-03-26 |
| 1679033229 | Mohammad Adnan Khan | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431 | 2019-03-20 |
| 1083101091 | Claire Nelson | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2018-04-16 |
| 1922505932 | Jerika Ortlieb | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2018-04-07 |
| 1770080731 | Justin Puttha Tuot | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2018-04-06 |
| 1285130070 | Jonathan Michael Stofer | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 | 2018-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1588271886 | Kenneth Knoechel | Student in an Organized Health Care Education/Training Program | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-09-30 |
| 1568091254 | Emily Mahran | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-03 |
| 1124656327 | Alexander Joseph Koehler | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-01 |
| 1013545540 | Michelle Renee Axe | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-30 |
| 1104454982 | Emily Rawlings | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1720616428 | Kyler Benjamin Dykes | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1205463205 | Chelsea Brunsman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on SARA ENID TISHERMAN.
| 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.