WILLIAM ALEC TISDALL (NPI# 1124153754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124153754 |
| Entity Type | Individual |
| Full Name | WILLIAM ALEC TISDALL |
| Credential | M.D. |
| Practice Address |
1919 Rogers Rd Suite 204 San Antonio TX 78251-4614 |
| Practice Telephone | 2105410700 |
| Practice Fax Number | 2105416868 |
| Mailing Telephone | 2105410700 |
| Mailing Fax Number | 2105416868 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
M5545 | TX | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
M5545 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 192493602 | 05 | |
| TX | BLUE CROSS | 8CK977 | 01 |
| Street Address |
1919 ROGERS RD SUITE 204 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043262264 | Robert Hugh Overbaugh | Pain Medicine | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2006-05-16 |
| 1326544131 | Texas Best Pharmacy LLC | Pharmacy | 1919 Rogers Rd, Ste 104, San Antonio, TX 78251-4774 | 2018-04-02 |
| 1912318510 | Steven Villarreal | Physician Assistant | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2014-05-16 |
| 1780022806 | Alison Leone Polston | Nurse Practitioner | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2013-06-11 |
| 1083974141 | Jonathan Michael Jurgens | Physical Therapist | 1919 Rogers Rd, 102, San Antonio, TX 78251-4614 | 2012-05-23 |
| 1316228026 | Kurt M Lee | Physician Assistant | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2011-09-08 |
| 1508158734 | Michael Ray Reed | Physician Assistant | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251 | 2011-05-05 |
| 1598085243 | William A. Tisdall, M.d., P.a. | Anesthesiology | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2010-06-04 |
| 1528183001 | Jonathan W Bourgeois | Anesthesiology | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251 | 2007-03-21 |
| 1922176817 | Roy Dewayne Blount | Physician Assistant | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178794 | Premier Interventional Pain Management, P.l.l.c | Pain Medicine | 8235 S New Braunfels Ste 211, San Antonio, TX 78235-4439 | 2019-01-15 |
| 1558839795 | Premier Pain Consultants, Pllc | Pain Medicine | 5522 Lone Star Pkwy, San Antonio, TX 78253-6719 | 2018-11-06 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1821341355 | Central Texas Pain Center South Pllc | Pain Medicine | 250 E Basse Rd Ste 207, San Antonio, TX 78209-8409 | 2012-10-22 |
| 1609156660 | Michael Mckee | Pain Medicine | 20079 Stone Oak Pkwy Ste 1245, San Antonio, TX 78258-6957 | 2011-08-23 |
| 1831320035 | Akintomi A Olugbodi | Pain Medicine | 2425 Babcock Rd Ste 111, San Antonio, TX 78229-4899 | 2009-08-05 |
| 1407095094 | Maged Mina, Md | Pain Medicine | 18626 Hardy Oak Ste 220, San Antonio, TX 78258-4219 | 2009-02-05 |
| 1043262264 | Robert Hugh Overbaugh | Pain Medicine | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2006-05-16 |
| 1568428589 | Arthur Samuel Hernandez | Pain Medicine | 88 Briggs St, Ste 250, San Antonio, TX 78224-1271 | 2006-04-26 |
| 1093335655 | Shyam Purswani Md Pllc | Pain Medicine | 2425 Babcock Rd Ste 108, San Antonio, TX 78229-4899 | 2020-04-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.