Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey Michael Tisch, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194220384

Dr. Jeffrey Michael Tisch, DO is a Student in an Organized Health Care Education/Training Program in Mobile, Alabama. Licensed in Alabama. Registered with an NPI since 2018.

Licensed in
AL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6908 Providence Park Dr S
Mobile, AL 36695-4600
Phone: (251) 660-3490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence DO.2135 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194220384
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address300 Crittenden Blvd, Rochester, NY 14642-0001

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