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

Hadyn Tisch

Individual provider Physician Assistant · NPI 1508673112

Hadyn Tisch is a Physician Assistant in Springfield, Missouri. Qualified in 2024, 2 years ago. Practices with Lester E Cox Medical Centers, a 249-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

3800 S National Ave Ste 600
Springfield, MO 65807-5249
Phone: (417) 875-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508673112
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing addressPo Box 505673, Saint Louis, MO 63150-5673

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lester E Cox Medical Centers — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Springfield