WILLIAM STANLEY VYDRZAL (NPI# 1669721338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669721338 |
Entity Type | Individual |
Full Name | WILLIAM STANLEY VYDRZAL |
Credential | C.P. |
Practice Address |
111 Dallas St Ste 200-a San Antonio TX 78205-1201 |
Mailing Address |
5047 Sherri Ann Rd San Antonio TX 78233-6213 |
Practice Telephone | 2102256508 |
Mailing Telephone | 2102374358 |
Enumeration Date | 2012-09-10 |
Last Update Date | 2012-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | 1252 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS PROSTHETIC LICENSE | 1252 | 01 |
Street Address |
111 DALLAS ST STE 200-A |
City | SAN ANTONIO |
State | TX |
Zip Code | 78205-1201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063412666 | Select Specialty Hospital - San Antonio Inc | Long Term Care Hospital | 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 | 2005-07-26 |
1366040487 | Charlene Devyn Anderson | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-10-12 |
1043832777 | Briana Rochelle Garza | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-05-15 |
1477182186 | Lu Ge | Pharmacist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-04-04 |
1629621909 | Shawn Timothy Woodland | Occupational Therapist | 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 | 2019-07-16 |
1457821290 | Blanca Azucena Macias | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-12-04 |
1801376637 | Matthew Joseph Kraus | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-21 |
1174002208 | Hospitalist Medicine Physicians of Texas - San Antonio, Pllc | Internal Medicine | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-09 |
1639661820 | Ashley Nicole Brown | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205 | 2018-06-04 |
1639689193 | Baptist Diagnostics, LLC | Clinical Medical Laboratory | 111 Dallas St, San Antonio, TX 78205-1201 | 2017-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
Find all providers in zip 78205 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
1841705308 | Connie Thomas | Prosthetist | 5946 Blanco Rd Ste 101, San Antonio, TX 78216-6634 | 2017-12-06 |
1023528015 | Prosthetic Technology Center, Inc | Prosthetist | 7254 Blanco Rd Ste 200, San Antonio, TX 78216-4930 | 2017-10-04 |
1811253990 | Jaclyn Suzanne Astorga | Prosthetist | 7400 Merton Minter St # 121, San Antonio, TX 78229-4404 | 2012-04-03 |
1356610596 | Randolph Farley | Prosthetist | 4319 Medical Dr Ste 106, San Antonio, TX 78229-3325 | 2011-12-16 |
1497727259 | Ricardo Morales Ramos | Prosthetist | 8519 Callaghan Rd, San Antonio, TX 78230-4948 | 2006-02-06 |
1811255714 | Phillip Harrison | Prosthetist | 1901 Babcock Rd, San Antonio, TX 78229-4554 | 2012-04-27 |
1700170578 | Jeffrey Robert Forbes | Prosthetist | 111 Dallas St, Suite 200-a, San Antonio, TX 78205-1201 | 2011-06-08 |
1619158409 | Ramos Prosthetics & Pedorthics | Prosthetist | 8519 Callaghan Rd, San Antonio, TX 78230-4948 | 2007-11-20 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78205 |
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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.