TRISTAN ANDREW ALTBUCH (NPI# 1114120292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114120292 |
| Entity Type | Individual |
| Full Name | TRISTAN ANDREW ALTBUCH |
| Credential | M.D. |
| Practice Address |
4500 W Newberry Rd Gainesville FL 32607-2245 |
| Practice Telephone | 3523366000 |
| Practice Fax Number | 3523320799 |
| Mailing Telephone | 3523366000 |
| Mailing Fax Number | 3523320799 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 11420 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 14PE8 | 01 |
| Street Address |
4500 W NEWBERRY RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903873 | W. Preston Blake | Orthopaedic Surgery | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2005-06-24 |
| 1790349900 | Luke Bietila | Physician Assistant | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2019-04-24 |
| 1083176820 | Denielle Waschek | Nurse Practitioner | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2019-04-02 |
| 1164995916 | Gina Marie Gallo | Nurse Practitioner | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2019-01-04 |
| 1700353737 | Holley Cutts | Physical Therapy Assistant | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2018-10-29 |
| 1770066094 | Mitchell Campbell | Occupational Therapist | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2018-09-12 |
| 1316423130 | Ana Marichal | Physician Assistant | 4500 W Newberry Rd, Gainesville, FL 32607 | 2018-07-15 |
| 1801372719 | Susanna Joy Roberts | Physician Assistant | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2018-07-13 |
| 1558898643 | Jessica Womack | Occupational Therapist | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2017-05-19 |
| 1184163073 | Clifford Nunery | Nurse Practitioner | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2017-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1558927392 | Emmanuel Franck Dominique Gibon | Orthopaedic Surgery | University of Florida Orthopaedics & Rehabilitation, Gainesville, FL 32611-0001 | 2019-05-16 |
| 1053670794 | Matthew W Crozier | Orthopaedic Surgery | 3450 Hull Rd Ste 3301, Gainesville, FL 32607-4144 | 2012-05-15 |
| 1720266307 | Christopher Cullen Scott | Orthopaedic Surgery | 1240 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501-3861 | 2008-02-05 |
| 1033396908 | Robert Courtney Decker | Orthopaedic Surgery | 3450 Hull Road, Rm 3341, Uf Orthopaedics and Sports Med Institute, Gainesville, FL 32607 | 2008-01-23 |
| 1316008857 | Charles Holmes Shaw | Orthopaedic Surgery | 7257 Nw 4th Blvd # 9, Gainesville, FL 32607 | 2006-12-12 |
| 1831267061 | Chester E Sutterlin IIi | Orthopaedic Surgery | 100 S Newwll Dr Bldg 59 Rm L-100, University of Fl - Dept of Neurological Surgery, Gainesville, FL 32610 | 2006-12-04 |
| 1891718383 | Michael Bradley Gottsman | Orthopaedic Surgery | 1475 Jesse Jewell Pkwy Ne Ste 302, Gainesville, GA 30501-3806 | 2006-07-25 |
| 1174516876 | Christian Frank Vissers Jr. | Orthopaedic Surgery | 1902 Hospital Blvd Ste A, Gainesville, TX 76240-2008 | 2005-08-26 |
| 1912903873 | W. Preston Blake | Orthopaedic Surgery | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2005-06-24 |
| 1174902704 | Jonathan Wright | Orthopaedic Surgery | 3450 Hull Rd Ste 3301, Gainesville, FL 32611-4144 | 2015-05-28 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
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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.