Shayna M Tisdall (NPI# 1023223278, PAC ID# 9335230325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023223278 |
| PAC ID by PECOS | 9335230325 |
| Professional Enrollment ID | I20070806000350 |
| Full Name | Shayna M Tisdall |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
700 Potomac St Fl 2 Aurora CO 80011-6846 |
| Phone Number | 3192738992 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060112 | SKY RIDGE MEDICAL CENTER |
| 060100 | AURORA SOUTH HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 Potomac St, Fl 2, Aurora, CO 80011-6846 | 3192738992 | KND DEVELOPMENT 59 LLC |
| 1920 N High St, Denver, CO 80218-1213 | 3033205871 | KND DEVELOPMENT 59 LLC |
| 5200 Dtc Pkwy, Suite 400, Greenwood Village, CO 80111-2719 | 3037450000 | CRITICAL CARE AND PULMONARY CONSULTANTS, P.C. |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Stephen Lee | Internal Medicine | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| Street Address |
700 POTOMAC ST FL 2 |
| City | AURORA |
| State | CO |
| Zip | 80011-6846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefani Nike Parrisbalogun | Psychiatry | Healthone Clinic Services - Behavioral Health LLC | 700 Potomac St, Aurora, CO 80011-6844 |
| Erin K Smith | Psychiatry | Healthone Clinic Services - Behavioral Health LLC | 700 Potomac St, Aurora, CO 80011-6844 |
| Susan Brooks Flood- Cook | Family Medicine | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Claudia B Wyrick | Family Medicine | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Emily J Burgess | Nurse Practitioner | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Eric Daniel French | Psychiatry | Healthone Clinic Services - Behavioral Health LLC | 700 Potomac St, Aurora, CO 80011-6844 |
| Michelle Marie Denault | Psychiatry | Healthone Clinic Services - Behavioral Health LLC | 700 Potomac St, Aurora, CO 80011-6844 |
| Sorina Simion Rodgers | Psychiatry | Healthone Clinic Services - Behavioral Health LLC | 700 Potomac St, Aurora, CO 80011-6844 |
| Molly Cooper | Nurse Practitioner | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Monet Elizabeth Meter | Hospitalist | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily B Crockett | Family Practice | American Current Care Pa | 3449 Chambers Rd, Suite B, Aurora, CO 80011-1329 |
| Henry B Rosenthal | Optometry | Clear Vision Associates PC | 3301 Tower Rd, Aurora, CO 80011-3509 |
| Mona Sadeghpour | Dermatology | University Physicians, Incorporated | 13100 E Colfax Ave, Unit, 70 Cu Cosmetics, Aurora, CO 80011-5517 |
| Whitney A High | Dermatology | University Physicians, Incorporated | 13100 E Colfax Ave, Unit, 70 Cu Cosmetics, Aurora, CO 80011-5517 |
| Cory A Dunnick | Dermatology | University Physicians, Incorporated | 13100 E Colfax Ave, Unit, 70 Cu Cosmetics, Aurora, CO 80011-5517 |
| Jennifer Woods | Pediatric Medicine | University Physicians Incorporated | 13100 E Colfax Ave, Unit, 70 Cu Cosmetics, Aurora, CO 80011-5517 |
| Cristy L Witt | Optometry | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | 15159 E Colfax, Unit B, Aurora, CO 80011-5707 |
| Rebecca M Bierden | Physical Medicine and Rehabilitation | Carepoint Hospital Medicine Pllc | 900 Potomac St, Aurora, CO 80011-6716 |
| Crystal Erin Kasper | Optometry | 900 Potomac St, Aurora, CO 80011-6716 | |
| Julie Krenz | Internal Medicine | Carepoint Hospital Medicine Pllc | 900 Potomac St, Aurora, CO 80011-6716 |
| Find all physicians in zip 80011 | |||
| City | AURORA |
| Zip Code | 80011 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | AURORA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shayna M Tisdall.
| 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.