Jimmy L Tisdale (NPI# 1477992253, PAC ID# 0446494397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477992253 |
| PAC ID by PECOS | 0446494397 |
| Professional Enrollment ID | I20130917000133 |
| Full Name | Jimmy L Tisdale |
| Address |
7117 W Wilshire Blvd Oklahoma City OK 73132-5575 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7117 W Wilshire Blvd, Oklahoma City, OK 73132-5575 |
| Street Address |
7117 W WILSHIRE BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73132-5575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Funderburg | Registered Dietitian Or Nutrition Professional | Nutrition Specialists, PC | 5601 Nw72nd St, Suite 200, Warr Acres, OK 73132 |
| Thien Nguyen | Optometry | Butcher Optical IIi Inc | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 |
| Rodney S Claborn | Optometry | Butcher Optical IIi Inc | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 |
| John D Chiaf | Chiropractic | 7236 N W Expwy, Oklahoma City, OK 73132-1543 | |
| Jerry Mullen | Optometry | 7101 Nw Expressway, Suite 130, Oklahoma City, OK 73132-1584 | |
| Travis G Gittins | Optometry | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | |
| Stacey R Rockett | Optometry | Brixton Opticians | 8812 N Council Rd, Oklahoma City, OK 73132-3246 |
| Tracy Lynn Calamaio | Chiropractic | 7716 N W 85th Terrace A, Tlc Chiropractic, Oklahoma City, OK 73132-3315 | |
| David Waggoner | Chiropractic | 7000 Nw Expressway, Suite H, Oklahoma City, OK 73132-3509 | |
| Jenny R Mikes | Registered Dietitian Or Nutrition Professional | 8512 Tiffany Dr, Oklahoma City, OK 73132-4743 | |
| Find all physicians in zip 73132 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73132 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OKLAHOMA CITY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.