PHILIP A TISDALL M.D. NPI 1578566774

NPI Information

NPI: 1578566774
Provider Name: PHILIP A TISDALL, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1 HAMPTON RD
UNIT 208
EXETER, NH
ZIP 03833
Phone: (603) 778-8522
Get Directions

Philip A Tisdall, M.D. is an anatomic pathology and clinical pathology pathology in Exeter, NH. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Philip A Tisdall, M.D. NPI is 1578566774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 HAMPTON RD
UNIT 208
EXETER, NH
ZIP 03833-849
Phone: (603) 778-8522
Fax: (603) 778-1602

The enumeration date for this NPI number is 5/23/2005 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	57504	MASSACHUSETTS	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	7703	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7703	OTHER	NEW HAMPSHIRE	MEDICAL LICENSURE
2	TIA22220	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	57504	OTHER	MASSACHUSETTS	MEDICAL LICENSURE
4	0105363Y0HN01	OTHER	NEW HAMPSHIRE	BCBS
5	NH9466	MEDICARE OSCAR/CERTIFICATION	NEW HAMPSHIRE
6	30002058	MEDICAID	NEW HAMPSHIRE
7	EX3735	MEDICARE OSCAR/CERTIFICATION	NEW HAMPSHIRE
8	TINH9466	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
9	R01137	OTHER	MASSACHUSETTS	BCBS
10	B86049	MEDICARE UPIN
11	3021904	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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