Charles Girard Tisdale, PA-C is a surgical physician assistant in Shreveport, LA with 27 years of experience. Charles Girard Tisdale, PA-C NPI is 1821096686. 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:
1455 E BERT KOUN LOOP
#210
SHREVEPORT, LA
ZIP 71105-634
Phone: (318) 798-4623
Fax: (318) 798-4569
The NPI 1821096686 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
The enumeration date for this NPI number is 7/14/2005 and was last updated on 12/11/2020.