SHAYLON DWAYNE RETTIG (NPI# 1679595045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679595045 |
| Entity Type | Individual |
| Full Name | SHAYLON DWAYNE RETTIG |
| Credential | M.D. |
| Practice Address |
333 N Santa Rosa St San Antonio TX 78207-3108 |
| Mailing Address |
315 N San Saba Suite 1135 San Antonio TX 78207-3154 |
| Practice Telephone | 2107044708 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | L9869 | TX | Other Service Providers |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
L9869 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP | 184276701 | 01 |
| TX | 174284303 | 05 | |
| TX | PO#174284301 | 05 |
| Street Address |
333 N SANTA ROSA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191071 | Martha Ruth Morse | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2005-06-01 |
| 1629698816 | Shanice Latham | Student in an Organized Health Care Education/Training Program | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2020-04-17 |
| 1568082899 | Francesca Michelle Lormeus | Student in an Organized Health Care Education/Training Program | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2020-04-16 |
| 1396387999 | Rachel H Brownlee-kurita | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-10-15 |
| 1063063691 | Madeline Berndt | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1093366627 | Valerie Lynn O'bar | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1578114104 | Taryn Prado | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1891346417 | Emily Bitetto | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1164073789 | Amy Bellanger | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1083265656 | Christus Santa Rosa Health Care Corporation | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941981 | Kimberly Anne Foster | Pediatrics | 23203 Bulverde Rd, San Antonio, TX 78259-2203 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598119315 | Allison Baran | Pediatrics | 7211 Preston Rd, Plano, TX 75024 | 2016-04-18 |
| 1467750612 | Bert Milton Franks | Pediatrics | 6812 Riverridge Rd, Ft Worth, TX 76116-9355 | 2011-03-10 |
| 1417984055 | Karen M Kirk | Pediatrics | 701 Interstate 20 E, Arlington, TX 76018-1130 | 2006-06-27 |
| 1023520509 | Medcare Pediatric Group, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2017-10-24 |
| 1073988895 | Lindsey Pereira Sebastian | Pediatrics | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2015-12-04 |
| 1871964122 | University of Dallas | Pediatrics | 1845 E Northgate Dr, Maher Athletic Center, Irving, TX 75062-4736 | 2015-10-13 |
| 1770923294 | Jennifer L. Johnson, Md Pllc | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2013-06-28 |
| 1952538290 | Jacel Craig Brooks | Pediatrics | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2009-06-13 |
| 1487829719 | Shane Michael Miller | Pediatrics | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-04-28 |
| 1073787024 | Jennifer Leigh Johnson | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2008-04-21 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
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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.