DR. RANDALL FREDERICK DRYER (NPI# 1912904053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904053 |
| Entity Type | Individual |
| Full Name | DR. RANDALL FREDERICK DRYER |
| Credential | M.D. |
| Practice Address |
6818 Austin Center Blvd Suite 200 Austin TX 78731-3100 |
| Practice Telephone | 5127952225 |
| Practice Fax Number | 5127950701 |
| Mailing Telephone | 5127952225 |
| Mailing Fax Number | 5127950701 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G4110 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G4110 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | 200027195 | 01 | |
| TX | 113904002 | 05 |
| Street Address |
6818 AUSTIN CENTER BLVD SUITE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386000800 | Elisabeth Potter Md Pllc | Plastic Surgery | 6818 Austin Center Blvd, Ste 204, Austin, TX 78731-3158 | 2016-01-13 |
| 1871984690 | Maximo Mora Jr. | Physical Therapist | 6818 Austin Center Blvd, Suite 111, Austin, TX 78731-3158 | 2015-02-16 |
| 1578837951 | Steven Holzman, Md, Pa | Clinic/Center | 6818 Austin Center Blvd, Suite #206, Austin, TX 78731-3158 | 2012-03-01 |
| 1326311580 | David M Mosier Md Pa | Clinic/Center | 6818 Austin Center Blvd, Suite 206, Austin, TX 78731-3158 | 2012-02-20 |
| 1639483068 | Jack Pierce,md Pllc | Ophthalmology | 6818 Austin Center Blvd, Ste 202, Austin, TX 78731-3158 | 2010-07-27 |
| 1528294295 | Matt Stewart | Physical Therapist | 6818 Austin Center Blvd, Austin, TX 78731-3158 | 2009-06-08 |
| 1649414707 | Adela Elisa Caramanica | Counselor | 6818 Austin Center Blvd, Ste 205, Austin, TX 78731-3158 | 2009-04-20 |
| 1497918783 | Plastic Surgery Center of Austin | Point of Service | 6818 Austin Center Blvd, Suite 206, Austin, TX 78731-3158 | 2008-07-07 |
| 1356512321 | Austin Premier Emergency Physicians | Emergency Medicine | 6818 Austin Center Blvd, Austin, TX 78731-3158 | 2008-03-18 |
| 1346438603 | Elisabeth H. Potter | Surgery | 6818 Austin Center Blvd, Suite 204, Austin, TX 78731-3158 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268338 | Mp Surgical Assists LLC | Orthopaedic Surgery | 4012 Duval St Unit B, Austin, TX 78751-5110 | 2019-07-25 |
| 1750889036 | Total Joint Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave Ste 1540b, Austin, TX 78701-4071 | 2018-01-31 |
| 1205344181 | Spine Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave # 1540a, Austin, TX 78701-4071 | 2018-01-13 |
| 1245232172 | James Len Smith Jr. | Orthopaedic Surgery | 4700 Seton Center Pkwy 200, Austin, TX 78759-4107 | 2005-08-11 |
| 1841297843 | Okay Atilla Onan | Orthopaedic Surgery | 4700 Seton Center Pkwy Ste 200, Suite 200, Austin, TX 78759-4107 | 2005-07-05 |
| 1801247531 | Capital Brain and Spine Pllc | Orthopaedic Surgery | 4319 James Casey St Ste 100, Austin, TX 78745 | 2016-06-23 |
| 1760539647 | Richard M Wupperman | Orthopaedic Surgery | 3000 N Interstate 35 Ste 708, Austin, TX 78705-1860 | 2007-01-04 |
| 1164530390 | Spineaustin Pa | Orthopaedic Surgery | 3001 Bee Cave Rd Ste 200, Austin, TX 78746-5590 | 2006-08-28 |
| 1508970096 | George W. Tipton Jr. | Orthopaedic Surgery | 1301 W 38th St Ste 102, Austin, TX 78705-1010 | 2006-08-19 |
| 1316050990 | Viet N. Tran | Orthopaedic Surgery | 3724 Executive Center Dr, Suite G-10, Austin, TX 78731-1646 | 2006-08-16 |
| Find all providers in AUSTIN | ||||
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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.