DR. RONALD COURY TISDALE (NPI# 1790203461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790203461 |
| Entity Type | Individual |
| Full Name | DR. RONALD COURY TISDALE |
| Other Name | DR. RONNIE TISDALE |
| Credential | MD |
| Practice Address |
1023 Medical Center Pkwy Selma AL 36701-6750 |
| Mailing Address |
625 19th St S Birmingham AL 35233-1900 |
| Practice Telephone | 6503872272 |
| Mailing Telephone | 6503872272 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 207P00000X | Emergency Medicine | MD.41401 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD.41401 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Gustave L Levy Pl, New York, NY 100296504 | 6503872272 | |
| 29360 Belmont Lake Rd, Perrysburg, OH 435513760 | 6503872272 | |
| 300 Pasteur Dr, Stanford, CA 943052200 | 6503872272 |
| Street Address |
1023 MEDICAL CENTER PKWY |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861402 | Melissa Blair Behringer | Family Medicine | 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701-6780 | 2005-06-16 |
| 1407306624 | Courtney Carter | Registered Nurse | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6750 | 2016-10-12 |
| 1124400353 | Jada Rhymes | Family Medicine | 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701-6780 | 2015-06-24 |
| 1407277460 | Vaughan Physician Practices LLC | Surgery | 1023 Medical Center Pkwy, Suite 310, Selma, AL 36701-6780 | 2013-12-18 |
| 1346679248 | Vaughan Physician Practices LLC | Internal Medicine | 1023 Medical Center Pkwy, Suite 310, Selma, AL 36701-6780 | 2013-11-01 |
| 1770928103 | Vaughan Physician Practices, LLC | Surgery | 1023 Medical Center Pkwy, Suite 311, Selma, AL 36701-6780 | 2013-04-29 |
| 1407197445 | Tlm Obstetrics, Gynecology and Womens Healthcare of West Central Alaba | Obstetrics & Gynecology | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6780 | 2013-03-14 |
| 1598005910 | Tlm Headquaters LLC | Obstetrics & Gynecology | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6780 | 2013-02-21 |
| 1629318043 | Adolescent and Adult Women's Healthcare of West Central Alabama | Obstetrics & Gynecology | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6780 | 2013-02-21 |
| 1881980589 | Vaughan Physician Practices LLC | Surgery | 1023 Medical Center Pkwy, Suite 309, Selma, AL 36701-6780 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750870812 | Selma Family Care PC | Family Medicine | Selma Family Care, PC, 203 Vaughan Memorial Drive, Selma, AL 36701-6950 | 2018-05-04 |
| 1922453356 | Juan Rios | Family Medicine | 2705 Highland Ave, Selma, CA 93662-3389 | 2016-05-04 |
| 1164774675 | Raul Ayala | Family Medicine | 2141 High St Ste E, Selma, CA 93662-3065 | 2012-10-08 |
| 1669728895 | Sravan Kumar Reddy Bezwada | Family Medicine | 1023 Med Ctr Pkwy, Ste 200, Selma, AL 36701-6780 | 2012-07-25 |
| 1629231717 | Jessica Sakhone Craig Md,inc | Family Medicine | 2003 1st St, 120a, Selma, CA 93662-3519 | 2008-07-08 |
| 1386793131 | Ernest T Okeke | Family Medicine | 901 Jeff Davis Ave, Suite A, Selma, AL 36701 | 2007-01-10 |
| 1902994551 | Humberto Jesus Villalvazo | Family Medicine | 1237 Rose Ave, Selma, CA 93662-3227 | 2006-10-10 |
| 1205894003 | Sai Shankar Namburu | Family Medicine | 1025 Medical Center Pkwy, Selma, AL 36701-6780 | 2006-05-02 |
| 1578525291 | Tiffani N Maycock | Family Medicine | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2006-04-06 |
| 1962475046 | Glenton W Davis | Family Medicine | 223 Dallas Ave, Selma, AL 36701-5744 | 2006-02-09 |
| Find all providers in SELMA | ||||
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| 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.