MR. THOMAS TISDALE (NPI# 1659758779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659758779 |
| Entity Type | Individual |
| Full Name | MR. THOMAS TISDALE |
| Credential | MS, LAT, ATC |
| Practice Address |
80 Healthcare Dr Sylva NC 28779-5126 |
| Mailing Address |
927 S Country Club Dr Cullowhee NC 28723-6862 |
| Practice Telephone | 8285867934 |
| Mailing Telephone | 8285454911 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1029 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
80 HEALTHCARE DR |
| City | SYLVA |
| State | NC |
| Zip Code | 28779-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900523 | Lawrence Francis Supik | Orthopaedic Surgery | 80 Healthcare Dr, Ste 203, Sylva, NC 28779-5146 | 2005-05-27 |
| 1861745499 | Alexis Marie Willey | Physician Assistant | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2012-10-19 |
| 1326376724 | Mission Medical Associates Inc | Internal Medicine | 80 Healthcare Dr, Suite 201, Sylva, NC 28779-5126 | 2009-11-23 |
| 1902062813 | Harris Regional Hospital Dba Sylva Orthopaedic Associates | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2008-07-30 |
| 1982896148 | Laura Fornos Verde | Internal Medicine | 80 Healthcare Dr, Ste 201, Sylva, NC 28779-5126 | 2007-08-13 |
| 1346461183 | Ryan M Slechta | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2007-05-01 |
| 1821217167 | Douglas Hart Gates | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2007-04-25 |
| 1952307993 | Amos Earl Haddock | Internal Medicine | 80 Healthcare Dr, Ste 201, Sylva, NC 28779-5126 | 2005-06-23 |
| 1053313262 | Sylva Orthopaedic Associates, Pa | Durable Medical Equipment & Medical Supplies | 80 Healthcare Dr, Ste 203, Sylva, NC 28779-5146 | 2005-06-01 |
| 1407859044 | Clifford Edward Faull | Orthopaedic Surgery | 80 Healthcare Dr, Ste 203, Sylva, NC 28779-5146 | 2005-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
| Find all providers in zip 28779 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144619107 | Tara Danielle Peterson | Specialist/Technologist | 896 Ashe Loop Rd, Sylva, NC 28779-8810 | 2015-01-14 |
| 1841210069 | Carrie Astrid Powell | Specialist/Technologist | 80 Heathcare Dr Suite 101, Sylva, NC 28779-7774 | 2006-07-20 |
| 1114299229 | Angela Arndt | Specialist/Technologist | 68 Hospital Rd, Sylva, NC 28779-2722 | 2012-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617180 | Valerie Downing | Specialist/Technologist | 205 N Knoll Rd, Southern Pines, NC 28387-2936 | 2020-10-20 |
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1992302772 | Emily Elizabeth Macadam | Specialist/Technologist | 115 Blue Rd, Pinehurst, NC 28374-9125 | 2020-10-05 |
| 1407453640 | Asal Rahbar Lenz | Specialist/Technologist | 5140 Nw Cabarrus Dr, Concord, NC 28027-7624 | 2020-10-01 |
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. THOMAS 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.