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WILLIAM A. TISDALL, M.D., P.A.
NPI 1083126742
Pain Medicine - Interventional Pain Medicine in Schertz, TX

Active since November 02, 2017CLIA 45D2009212 · Accreditation
5700 SCHERTZ PKWY STE 130, SCHERTZ, TX 78154(210) 541-0700(210) 541-6868 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Nov 2, 2017 (2 updates tracked since 2017).

About William A. Tisdall, M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM A. TISDALL, M.D., P.A. (NPI 1083126742) is a healthcare organization registered as an interventional pain medicine in Schertz, Texas and active in the NPI registry since November 2017. The organization holds an CLIA Accreditation certificate valid through February 11, 2028 and lists William Alec Tisdall, President, as its authorized official.

NPPES Registry Identity

NPI1083126742
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameWILLIAM A. TISDALL, M.D., P.A.
Location Address5700 SCHERTZ PKWY STE 130Schertz, TX 78154-1496
Mailing Address1919 Rogers Rd Ste 204San Antonio, TX 78251-4774 · (210) 541-0700 · Fax (972) 438-6585
Phone(210) 541-0700
Fax(210) 541-6868
Organization SubpartNo
Authorized OfficialWilliam Alec TisdallPresident · (210) 571-0400
Enumeration DateNovember 2, 2017
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1083126742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
5700 SCHERTZ PKWY STE 130, Schertz, TX 78154
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Other Identifiers 1

Medicaid217091201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2009212

William A Tisdall MD · San Antonio, TX
Active · expires Feb 11, 2028
CLIA Number45D2009212
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Gaayana A. Raju
Laboratory Phone(210) 541-0700
Laboratory LocationWilliam A Tisdall MD1919 Rogers Road Suite 104, San Antonio, TX 78251
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William A. Tisdall, M.D., P.A.'s NPI number?

The NPI number for William A. Tisdall, M.D., P.A. is 1083126742. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is William A. Tisdall, M.D., P.A. located?

William A. Tisdall, M.D., P.A. is located at 5700 Schertz Pkwy Ste 130, Schertz, TX 78154. The listed phone number is (210) 541-0700.

What is William A. Tisdall, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does William A. Tisdall, M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2009212) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for William A. Tisdall, M.D., P.A. was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.