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

Mr. David Eugene Tisdale, R-PCA

Individual provider Physician Assistant · NPI 1396835112

Mr. David Eugene Tisdale, R-PCA is a Physician Assistant in Massena, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

1 Hospital Dr
Massena, NY 13662-1056
Phone: (315) 769-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002506 (NY)

Record details

NPI number1396835112
Entity typeIndividual (Type 1)
GenderMale
Credentials R-PCA
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESFebruary 6, 2015
Mailing address1 Hospital Dr, Massena, NY 13662-1056

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