Individual
JOHN R TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 RAHLING RD STE 120, LITTLE ROCK, AR 72223-4678
(501) 214-2360
(501) 214-2356
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(500) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.121001
OH
207R00000X
Internal Medicine Physician
Primary
E-18802
AR
208000000X
Pediatrics Physician
35.121001
OH
208000000X
Pediatrics Physician
E-18802
AR
Other
Enumeration date
04/23/2009
Last updated
12/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us