DR. TYLER MARK STALL (NPI# 1831410828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831410828 |
| Entity Type | Individual |
| Full Name | DR. TYLER MARK STALL |
| Credential | M.D. |
| Practice Address |
2510 Gaskins Rd Henrico VA 23238-1481 |
| Practice Telephone | 7578974843 |
| Mailing Telephone | 7578974843 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 0101260329 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 9407434 | KS | Student, Health Care |
| Street Address |
2510 GASKINS RD |
| City | HENRICO |
| State | VA |
| Zip Code | 23238-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649443367 | Skin Surgery Center of Virginia | Clinic/Center | 2510 Gaskins Rd, Henrico, VA 23238-1481 | 2008-04-03 |
| 1689908915 | Patricia R Aldredge | Nurse Practitioner | 2510 Gaskins Rd, Henrico, VA 23238-1481 | 2009-09-18 |
| 1467601278 | Melody L Irby | Physician Assistant | 2510 Gaskins Rd, Henrico, VA 23238-1481 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1093378028 | Neepaben C Patel | Physical Therapist | 2620 A Gaskins Rd, Henrico, VA 23238 | 2019-04-16 |
| 1598246530 | Mohini T Chandra | Occupational Therapist | 1900 Lakewood Drive, Richmond, VA 23238 | 2018-08-28 |
| 1275035743 | Henry Davis Holland Jr. | Speech-Language Pathologist | 1773 Robins Nest Ct., Henrico, VA 23238 | 2018-03-01 |
| 1811352651 | Taylor Krafcik | Acupuncturist | 10617 Patterson Ave, Henrico, VA 23238 | 2015-12-21 |
| 1245603430 | Ashley Sharice Crawley | Physical Therapist | 1209 Falstaff Court, Henrico, VA 23238 | 2015-11-10 |
| 1174966832 | Milton Alexander Boyd | Internal Medicine | 1531 Monmouth Pl, Richmond, VA 23238 | 2013-04-12 |
| 1760778534 | Terri Esposito | Physical Therapist | 1600 John Rolfe Pkwy., Richmond, VA 23238 | 2011-06-21 |
| 1073841649 | Pulmonary Assessments | Clinic/Center | 149 West Square Ct, Richmond, VA 23238 | 2009-11-19 |
| 1538329156 | Michael B Holbert | Dentist | 2620-b Gaskins Road, Richmond, VA 23238 | 2008-06-17 |
| Find all providers in zip 23238 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376583880 | Ruth L Hillelson | Plastic Surgery | 9900 Independence Park Dr, Henrico, VA 23233-1473 | 2006-06-07 |
| 1871694091 | Wyndell Hunt Merritt | Plastic Surgery | 7660 E Parham Rd, Suite 200, Henrico, VA 23294-4378 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734595 | Maia Plastic Surgery | Plastic Surgery | 8100 Boone Boulevard, Suite 730, Tysons Corner, VA 22182-2688 | 2020-06-10 |
| 1477026227 | Parva Plastic Reconstructive Surgery LLC | Plastic Surgery | 224d Cornwall St Nw Ste 300, Leesburg, VA 20176-2704 | 2019-01-04 |
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1861900110 | Jules A. Feledy, Jr., Md., Pllc | Plastic Surgery | 2071 Jefferson Davis Hwy, Stafford, VA 22554-7266 | 2018-01-19 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1376068577 | Congressional Plastic Surgery, Inc. | Plastic Surgery | 8501 Arlington Blvd Ste 310, Fairfax, VA 22031-4625 | 2017-08-08 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1235483348 | Joseph Mitchell Jabbour | Plastic Surgery | 22071 Sam Fred Rd, Middleburg, VA 20117-3201 | 2012-10-29 |
| 1386907400 | Lewis Plastic Surgery, PC | Plastic Surgery | 2331a Robious Station Circle, Midlothian, VA 23113-4730 | 2012-06-22 |
| 1922377696 | Glenn Harvey Shepard | Plastic Surgery | 36 Barclay Rd, Newport News, VA 23606-1465 | 2011-12-23 |
| Find all providers with the same taxonomy | ||||
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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.