TYLER J RANDALL (NPI# 1518319318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518319318 |
| Entity Type | Individual |
| Full Name | TYLER J RANDALL |
| Credential | M.D. |
| Practice Address |
111 Dallas St San Antonio TX 78205 |
| Mailing Address |
6300 La Calma Dr Austin TX 78752-3843 |
| Practice Telephone | 3309944463 |
| Mailing Telephone | 3309944463 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R9535 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1414 Kuhl Ave # Mp31, Orlando, FL 328062008 | 4072376329 | 4076493083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241794 | Tyler William Randall | Nurse Practitioner | 1338 Phay Ave, Canon City, CO 81212-2311 | 2019-05-24 |
| 1245757533 | Tyler Lincoln Randall | Physical Therapist | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2017-08-28 |
| Street Address |
111 DALLAS ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1013421544 | Usacs Emergency Medicine Services of Texas, Pllc | Emergency Medicine | 7719 Interstate 35 S, San Antonio, TX 78224-1469 | 2017-11-20 |
| 1508384975 | Fred David Prentice | Emergency Medicine | 7 Venice Ct, San Antonio, TX 78257-1310 | 2017-09-06 |
| 1720435571 | Matthew Michael Hessel | Emergency Medicine | 3551 Roger Brooke Drive - Emergency Medicine Department, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-05-23 |
| 1164817946 | Roland Manuel Dimaya | Emergency Medicine | 11503 Nw Military Hwy Ste 202, San Antonio, TX 78231-1895 | 2015-03-30 |
| 1437402724 | James Richard Leininger | Emergency Medicine | 18615 Tuscany Stone, Suite 200, San Antonio, TX 78258-3502 | 2012-10-24 |
| 1982966099 | Matthew Weldon Cross | Emergency Medicine | 410 E Wildwood Dr, San Antonio, TX 78212-1758 | 2012-06-13 |
| 1518238773 | Susan Lee Howle | Emergency Medicine | 7419 Wild Eagle St, San Antonio, TX 78255-1148 | 2012-01-19 |
| 1730472135 | Christina B Lumbreras | Emergency Medicine | 6263 Valley Bay Dr, San Antonio, TX 78250-5785 | 2011-05-18 |
| 1700176773 | Bryan Mathew Thomas | Emergency Medicine | 2022 Riva Ridge St, San Antonio, TX 78248-1143 | 2011-04-12 |
| 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.