DR. DMITRY TUDER (NPI# 1992779292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992779292 |
| Entity Type | Individual |
| Full Name | DR. DMITRY TUDER |
| Credential | M.D. |
| Practice Address |
7500 Barlite Blvd Ste 311 San Antonio TX 78224-1363 |
| Practice Telephone | 2105985605 |
| Practice Fax Number | 2105985620 |
| Mailing Telephone | 2105985605 |
| Mailing Fax Number | 2105985620 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
M0952 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 212285505 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3851 Roger Brooke Dr, Fort Sam Houston, TX 782344501 | 2109165586 |
| Street Address |
7500 BARLITE BLVD STE 311 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78224-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821556168 | Nix Physicians Inc. | Orthopaedic Surgery | 7500 Barlite Blvd Ste 311, San Antonio, TX 78224-1363 | 2019-03-06 |
| 1013458223 | Christopher Warmath | Nurse Practitioner | 7500 Barlite Blvd Ste 311, San Antonio, TX 78224-1363 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1770124984 | Lillian Cerritos | Physical Therapist | 7719 I-35 S. #213, San Antonio, TX 78224 | 2019-09-30 |
| 1730606211 | Stephanie Hernandez | Physical Therapy Assistant | 2227 Sundrop Bay, San Antonio, TX 78224 | 2017-08-25 |
| 1770012155 | Pedro Daniel Godoy Sr. | Technician | 9422 Hindi St., San Antonio, TX 78224 | 2017-06-08 |
| 1417408642 | Lynda Marie Perez | Specialist/Technologist | 98 Briggs Ave #990, San Antonio, TX 78224 | 2016-10-24 |
| 1679933832 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8731 Poteet Jourdanton Freeway, San Antonio, TX 78224 | 2016-03-02 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
| 1265846794 | Ashley Arellano | Speech-Language Pathologist | 98 Briggs Avenue, Suite 990, San Antonio, TX 78224 | 2014-06-12 |
| 1912310244 | Jose Angel Musquiz Jr. | Massage Therapist | 7423 Yarrow Blvd Apt 3107, San Antonio, TX 78224 | 2014-06-04 |
| Find all providers in zip 78224 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174767495 | Kunj K Desai | Orthopaedic Surgery | 21 Spurs Ln Ste 310, San Antonio, TX 78240 | 2009-04-30 |
| 1154499077 | The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 3327 Research Plaza Drive, Suite 404, San Antonio, TX 78235-5159 | 2006-11-30 |
| 1487633384 | Joel B. Nilsson | Orthopaedic Surgery | 18518 Hardy Oak Blvd, Suite 205, San Antonio, TX 78258-4759 | 2006-01-10 |
| 1386645372 | Victor Ivan Lyday | Orthopaedic Surgery | 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 | 2005-08-02 |
| 1821556168 | Nix Physicians Inc. | Orthopaedic Surgery | 7500 Barlite Blvd Ste 311, San Antonio, TX 78224-1363 | 2019-03-06 |
| 1598174427 | R Brent Jackson Do Pa | Orthopaedic Surgery | 155 E Sonterra Blvd, Suite 211, San Antonio, TX 78258-3987 | 2014-08-05 |
| 1427470517 | Lev De Lei Promotional Alliance LLC | Orthopaedic Surgery | 20079 Stone Oak Pkwy, Suite 1200, San Antonio, TX 78258-6942 | 2014-01-09 |
| 1124378393 | The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 3327 Research Plaza Drive, Suite 404, San Antonio, TX 78235-5159 | 2012-09-14 |
| 1376820506 | Victor I Lyday Md Pa | Orthopaedic Surgery | 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 | 2011-11-16 |
| 1356522577 | The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 400 Concord Plaza Dr, Suite 300, San Antonio, TX 78216-6905 | 2007-11-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78224 |
Please comment or provide details below to improve the information on DR. DMITRY TUDER.
| 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.