DREW NATHANIEL STAL (NPI# 1376962530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376962530 |
Entity Type | Individual |
Full Name | DREW NATHANIEL STAL |
Credential | M.D. |
Practice Address |
902 W Randol Mill Rd Ste 120 Arlington TX 76012-2579 |
Practice Telephone | 8178011503 |
Practice Fax Number | 8178011508 |
Mailing Telephone | 8178011503 |
Mailing Fax Number | 8178011508 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2020-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | S5783 | TX | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
S5783 | TX | Allopathic & Osteopathic Physicians |
Street Address |
902 W RANDOL MILL RD STE 120 |
City | ARLINGTON |
State | TX |
Zip Code | 76012-2579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043415250 | Venkat Raghav Rapuri | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-06-18 |
1689221053 | Amy Carrillo Ali | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2019-08-21 |
1467961375 | Vibin Thomas Kuriakose | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2017-09-22 |
1588996110 | Vanessa J Gunn | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2010-02-07 |
1801057179 | Lindsey Nicole Dietrich | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2008-06-19 |
1114119542 | Shushan Jacob | Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
Find all providers in zip 76012 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396031142 | Oliver Nikolaas Schipper | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2011-06-21 |
1851592224 | Donald Stanley Stewart | Orthopaedic Surgery | 800 Orthopedic Way, Arlington, TX 76015-1629 | 2007-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
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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.