DR. JAMES EDWARD TISDALE (NPI# 1306906672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306906672 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD TISDALE |
| Credential | BSCPHARM, PHARMD |
| Practice Address |
1001 W 10th St W7555 Myers Bldg, Whs, Purdue University Indianapolis IN 46202-2859 |
| Mailing Address |
13787 Hickory Ridge Ct Carmel IN 46032-9128 |
| Practice Telephone | 3176132315 |
| Practice Fax Number | 3176132316 |
| Mailing Telephone | 3176132315 |
| Mailing Fax Number | 3176132316 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302028422 | MI | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26021035A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073622692 | James N. Tisdale | Optometrist | 114 Professional Park Dr, Victoria, TX 77904-2351 | 2006-08-29 |
| 1477957694 | James Tisdale | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2014-10-17 |
| Street Address |
1001 W 10TH ST W7555 MYERS BLDG, WHS, PURDUE UNIVERSITY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650727 | Noll L Campbell | Pharmacist | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2005-06-22 |
| 1568842490 | Eskenazi Health | General Acute Care Hospital | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2015-06-05 |
| 1609208271 | Joseph Aaron Hutchison | Nurse Practitioner | 1001 W 10th St, Myers Buildning, Indianapolis, IN 46202-2859 | 2013-08-06 |
| 1124469036 | Eskenazi Health Foundation | General Acute Care Hospital | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2013-07-09 |
| 1689012676 | Marwan Mounayar | Student in an Organized Health Care Education/Training Program | 1001 W 10th St, Opw M200, Indianapolis, IN 46202-2859 | 2013-06-12 |
| 1679911549 | Nadia K. Bozanich | Internal Medicine | 1001 W 10th St, Opw M200, Indianapolis, IN 46202-2859 | 2013-06-12 |
| 1427496827 | Sheila Mamandur Hiler | Student in an Organized Health Care Education/Training Program | 1001 W 10th St, Opw M200, Indianapolis, IN 46202-2859 | 2013-06-06 |
| 1447697180 | Rachel Christine Morgan | Student in an Organized Health Care Education/Training Program | 1001 W 10th St, West Pavilion M200, Indianapolis, IN 46202-2859 | 2013-06-03 |
| 1942647813 | Adam Ryan Miller | Internal Medicine | 1001 W 10th St, West Pavilion M200, Indianapolis, IN 46202 | 2013-05-31 |
| 1730524893 | Trent Garret Gray | Anesthesiology | 1001 W 10th St, West Pavilion M200, Indianapolis, IN 46202-2859 | 2013-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
| 1558608604 | Jonathan O Onuorah | Pharmacist | 10076 Split Rock Way, Indianapolis, IN 46234-3192 | 2013-01-09 |
| 1457633356 | James E Carr | Pharmacist | 8923 S Meridian St, Indianapolis, IN 46217-6065 | 2011-09-15 |
| 1154603298 | Kimberly Elder | Pharmacist | 830 Gardenbrook Cir Apt K, Indianapolis, IN 46202-4657 | 2011-09-14 |
| 1235371170 | Winton Dennis Jones | Pharmacist | 7339 Brackenwood Dr, Indianapolis, IN 46260-5445 | 2009-03-24 |
| 1629192901 | Tate N Trujillo | Pharmacist | 1701 Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2007-03-19 |
| 1093848707 | Jeanne M Chen | Pharmacist | 550 University Blvd # 1451, Indianapolis, IN 46202-5149 | 2007-03-13 |
| 1275610974 | Jeanne Hawkins Vantyle | Pharmacist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2006-11-01 |
| 1376659664 | Melanie Kathryn Kuester | Pharmacist | 1481 W Tenth Street, Indianapolis, IN 46202 | 2006-08-21 |
| 1689603235 | Amy Boldt | Pharmacist | 1481 W 10th St # 119, Indianapolis, IN 46202-2803 | 2006-07-03 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DR. JAMES EDWARD 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.