WILLIAM A. TISDALL, M.D., P.A.
NPI 1760994420
Pain Medicine - Interventional Pain Medicine in San Antonio, TX

NPI Status: Active since November 02, 2017

Contact Information

1314 E SONTERRA BLVD STE 2107
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 541-0700
Fax: (210) 541-6868

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About WILLIAM A. TISDALL, M.D., P.A.

This page provides the complete NPI Profile along with additional information for William A. Tisdall, M.d., P.a., a provider established in San Antonio, Texas operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1760994420 assigned on November 2017. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is William Alec Tisdall (President)

NPI
1760994420
Provider Name
WILLIAM A. TISDALL, M.D., P.A.
Entity Type
Organization
Location Address
1314 E SONTERRA BLVD STE 2107 SAN ANTONIO, TX 78258
Location Phone
(210) 541-0700
Location Fax
(210) 541-6868
Mailing Address
1919 ROGERS RD STE 104 SAN ANTONIO, TX 78251
Mailing Phone
(210) 541-0700
Mailing Fax
(210) 541-6868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2017
Last Update Date
11-02-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM ALEC TISDALL

Authorized Official Title
PRESIDENT
Authorized Official Phone
(210) 541-0700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
217091201MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760994420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120189844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 8 + 9 + 8 + 4 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760994420 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760994420, enumerated in the NPI registry as an "organization" on November 02, 2017

The provider is located at 1314 E Sonterra Blvd Ste 2107 San Antonio, Tx 78258 and the phone number is (210) 541-0700

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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