GEORGE G TISDALE (NPI# 1952410177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952410177 |
| Entity Type | Individual |
| Full Name | GEORGE G TISDALE |
| Credential | M.D. |
| Practice Address |
425 Montgomery Hwy Birmingham AL 35216-1805 |
| Practice Telephone | 2058225559 |
| Practice Fax Number | 2058225559 |
| Mailing Telephone | 2058225559 |
| Mailing Fax Number | 2058225559 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
8522 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477870293 | George Brandon Tisdale | Internal Medicine | 817 Princeton Ave Sw, Pob II, Suite 304, Birmingham, AL 35211-1333 | 2010-05-04 |
| Street Address |
425 MONTGOMERY HWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35216-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588851125 | Tony Adar | Dermatology | 2100 16th Ave S Ste 202, Birmingham, AL 35205 | 2007-09-27 |
| 1174565493 | Adam C. Esser | Dermatology | 2100 16th Ave S, Suite 202, Birmingham, AL 35205-5021 | 2006-06-12 |
| 1255320115 | Julian Murphree Thomas | Dermatology | 3940 Montclair Rd, Suite 410, Birmingham, AL 35213-2427 | 2005-10-13 |
| 1497235592 | Forefront Dermatology, S.c. | Dermatology | 250 Inverness Center Dr, Birmingham, AL 35242 | 2018-08-17 |
| 1518216910 | Julian M. Thomas M.d. | Dermatology | 3940 Montclair Road, Suite 410, Birmingham, AL 35213-2421 | 2012-08-31 |
| 1083974539 | Carlton Blake Phillips | Dermatology | 2000 6th Ave S, Birmingham, AL 35294 | 2012-05-17 |
| 1003901679 | Dermatology and Laser of Alabama, P.C. | Dermatology | 201 Office Park Drive, Suite 250, Birmingham, AL 35223 | 2006-10-03 |
| 1942230248 | Gary D. Monheit | Dermatology | 2100 16th Ave S, Suite 202, Birmingham, AL 35205-5021 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538433602 | Southeastern Skin Cancer & Dermatology | Dermatology | 124 County Road 3401, Haleyville, AL 35565-6959 | 2012-03-06 |
| 1366583882 | Albert Earl Rivera | Dermatology | 8331 Madison Blvd, Suite 300, Madison, AL 35758-2070 | 2007-02-08 |
| 1679658256 | R. Gordon Mowry, M.d. | Dermatology | 100 Memorial Hospital Dr Ste 2b, Mobile, AL 36608-1129 | 2006-10-25 |
| 1346855327 | Forefront Dermatology, S.c. | Dermatology | 2471 Helton Dr, Florence, AL 35630-1067 | 2020-09-15 |
| 1538773775 | Advanced Dermatology of Alabama, Inc. | Dermatology | 286 Mitylene Park Dr, Montgomery, AL 36117-3548 | 2020-09-04 |
| 1194289181 | Forefront Dermatology, S.c. | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2019-01-24 |
| 1366936759 | Forefront Dermatology, S.c. | Dermatology | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2018-06-19 |
| 1598184566 | Rachel Teat Pflederer | Dermatology | 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541 | 2014-04-07 |
| 1407274756 | Brian James King | Dermatology | 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541 | 2014-04-03 |
| 1720379712 | Raj Patel | Dermatology | 615 1st St N, Suite317, Alabaster, AL 35007-8892 | 2011-04-25 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35216 |
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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.