Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. David Eugene Tisdale, R-PCA

Physician Assistant in Massena, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396835112

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Registry record

Entity type Individual (Type 1)

Name Mr. David Eugene Tisdale

Credential R-PCA

Sex Male

Practice address 1 Hospital Dr, Massena, NY, 13662

Phone (315) 769-4200

Enumeration date Oct 13, 2006

Last updated in NPPES Feb 6, 2015

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 002506 (NY) Primary

Other identifiers

Identifier	Type	State	Issuer
02506	Other	NY	PA LISCENCE
03773219	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify David Tisdale's NPI record?

Cross-check NPI 1396835112 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1396835112 active?

Yes, as of the latest NPPES snapshot, NPI 1396835112 is active (record last updated 2015-02-06).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-06.