Individual provider · Type 1 NPI

Hadyn Tisch

Physician Assistant · Springfield, MO

NPI number 1508673112 Active

Practice location

3800 S National Ave Ste 600
Springfield, MO 65807-5249

Mailing address

PO Box 505673
St. Louis, MO 63150-5673

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508673112

Hadyn Tisch's National Provider Identifier is 1508673112, issued on Dec 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MO. The record was last updated on Apr 18, 2025.