DR. HERBERT TISNOWER M.D. NPI 1831195619

NPI Information

NPI: 1831195619
Provider Name: DR. HERBERT TISNOWER, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1837 S 65TH ST
PHILADELPHIA, PA
ZIP 19142
Phone: (215) 726-0181
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DR. Herbert Tisnower, M.D. is a general practice in Philadelphia, PA with 44 years of experience. DR. Herbert Tisnower, M.D. NPI is 1831195619. 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:

1837 S 65TH ST
PHILADELPHIA, PA
ZIP 19142-423
Phone: (215) 726-0181
Fax: (215) 726-5110

The NPI 1831195619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2005 and was last updated on 10/6/2014.

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	208D00000X	General Practice		MD028686E	PENNSYLVANIA	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	080019943	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
2	126202	MEDICARE PIN	PENNSYLVANIA
3	1831195619	OTHER	PENNSYLVANIA	KEYSTONE FIRST
4	232626909	OTHER	PENNSYLVANIA	TRICARE PALMETTO (REGIONS 1-6)
5	0009887700002	MEDICAID	PENNSYLVANIA
6	0035661000	OTHER	PENNSYLVANIA	IBC PERSONAL CHOICE
7	0035661000	OTHER	PENNSYLVANIA	PERSONAL CHOICE PPO OF PENNSYLVANIA (INDEPENDENT BLC)
8	0035661001	OTHER	PENNSYLVANIA	PENNSYLVANIA KEYSTONE HEALTH PLAN EAST
9	232626909	OTHER	PENNSYLVANIA	TRICARE FOR LIFE

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: 11/14/2023

NPI Synchronization or Removal

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