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WILLIAM ALEC TISDALL M.D. NPI 1124153754


NPI Information

NPI: 1124153754
Provider Name: WILLIAM ALEC TISDALL, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Organization: WILLIAM A. TISDALL, M.D., P.A.

PECOS Registration: Yes

CLIA Number: 45D2009212

Address:
1919 ROGERS RD
SUITE 204
SAN ANTONIO, TX
ZIP 78251
Phone: (210) 541-0700
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William Alec Tisdall, M.D. is an interventional pain medicine pain medicine in San Antonio, TX with 22 years of experience. The provider is 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. William Alec Tisdall, M.D. NPI is 1124153754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1919 ROGERS RD
SUITE 204
SAN ANTONIO, TX
ZIP 78251-614
Phone: (210) 541-0700
Fax: (210) 541-6868

The NPI 1124153754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D2009212 - physician office with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter (HCPCS:G0431)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)

The enumeration date for this NPI number is 2/22/2007 and was last updated on 1/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineM5545TEXASNo
2208VP0014XPain MedicineInterventional Pain MedicineM5545TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1192493602MEDICAIDTEXAS
2TXB107742MEDICARE PINTEXAS
38CK977OTHERTEXASBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.