DR. TYLER DALE STRACENER (NPI# 1518122340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518122340 |
| Entity Type | Individual |
| Full Name | DR. TYLER DALE STRACENER |
| Credential | M.D. |
| Practice Address |
3701 Loop Rd Tuscaloosa AL 35404-5015 |
| Practice Telephone | 2055542000 |
| Practice Fax Number | 2055542937 |
| Mailing Telephone | 2055542000 |
| Mailing Fax Number | 2055542937 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31137 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
31137 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
3701 LOOP RD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690832 | Deidre Clark | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2005-06-23 |
| 1972100089 | John Morris Little | Counselor | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-02 |
| 1790382927 | Shabrekia Shantelle Neal | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-01 |
| 1285241455 | Evelyn Jemison | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-30 |
| 1851908768 | Cierra Silver Ball | Registered Nurse | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1952918971 | Sharon Amanda Prestridge | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1972119022 | Lashaunda Renae Lark-darien | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1598371676 | Toi Lynn Gordon | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1629684824 | Jasmine Ruffin Colvin | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-22 |
| 1396351169 | Lameka Lashae Hunter | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649687179 | Tuscaloosa Geriatrics, P.C. | Internal Medicine | 4000 Carousel Cir, Tuscaloosa, AL 35406-2997 | 2014-07-16 |
| 1245273929 | Sheni Meghani | Internal Medicine | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2006-06-13 |
| 1780645796 | Manivannan Neelamegam | Internal Medicine | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-03-29 |
| 1760460810 | Avinash Nichani | Internal Medicine | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427411347 | Calvin L. Reid Geriatric Services, LLC | Internal Medicine | 636 Westwood Rd, Dothan, AL 36303-2928 | 2016-03-29 |
| 1821406927 | Center for Aging Inc | Internal Medicine | 909 Franklin St Se Ste A, Huntsville, AL 35801-4334 | 2014-08-01 |
| 1063576130 | Joel C Bolen | Internal Medicine | 1230 Carmichael Way, Montgomery, AL 36106-3671 | 2006-12-21 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1952415994 | J Walden Retan Md PC | Internal Medicine | 3105 Warrington Road, Mountain Brook, AL 35223-2721 | 2006-08-18 |
| 1669494597 | Alabama Geriatric Specialists Inc. | Internal Medicine | 1 Lakeshore Dr., Ste. 200, Birmingham, AL 35209 | 2006-07-23 |
| 1073558813 | Carol A Griffin | Internal Medicine | 933 19th St S, Room 201, Birmingham, AL 35205-3703 | 2006-06-17 |
| 1639129430 | Malavika Kirikumar Shah | Internal Medicine | 4350 Cleveland Avenue, Walnut Grove, AL 35990 | 2006-05-11 |
| 1346733821 | Franklin Primary Health Center, Inc | Internal Medicine | 100 Edwina St, Evergreen, AL 36401-3319 | 2018-06-11 |
| 1194223313 | Sheppard Consulting Services, LLC | Internal Medicine | 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 | 2018-01-23 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
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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.