WHITE MOUNTAIN SURGICAL SPECIALISTS PC (NPI# 1124177571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124177571 |
| Entity Type | Organization |
| Organization Name | WHITE MOUNTAIN SURGICAL SPECIALISTS PC |
| Practice Address |
2650 E Show Low Lake Rd Suite 2 Show Low AZ 85901-7955 |
| Practice Telephone | 9285374240 |
| Mailing Telephone | 9285374240 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | DR. RONNIE K DOWLING (PHYSICIAN) |
| Authorized Official Telephone | 9285374240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE MTN SURGICAL SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | AZ13617 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ST COMP FUND AZ | 16090179 | 01 |
| AZ | 214502001 | 05 | |
| AZ | BCBS AZ | AZ0180910 | 01 |
| AZ | 214502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487922 | White Mountain Surgical Specialists PC | Clinic/Center | 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 | 2006-04-17 |
| Street Address |
2650 E SHOW LOW LAKE RD SUITE 2 |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385654 | White Mountain Physical Therapy Ltd | Physical Therapist | 2650 E Show Low Lake Rd, Ste 3, Show Low, AZ 85901-7955 | 2005-06-08 |
| 1003237462 | James Benson-valdes I | Nurse Practitioner | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 | 2014-01-02 |
| 1063691483 | Arizona Heart Institute Show Low | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 E Show Low Lake Rd, Show Low, AZ 85901-7955 | 2007-11-01 |
| 1942408844 | Jeannie D Evans | Family Medicine | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 | 2007-07-03 |
| 1578570438 | Amanda Jarles | Occupational Therapist | 2650 E Show Low Lake Rd, Ste 3, Show Low, AZ 85901-7955 | 2006-08-02 |
| 1144252032 | Tami Bonebrake | Physical Therapist | 2650 E Show Low Lake Rd, Ste 3, Show Low, AZ 85901-7955 | 2006-07-07 |
| 1871522656 | Cornelius Jim Scanlon | Physical Therapist | 2650 E Show Low Lake Rd, Ste 3, Show Low, AZ 85901-7955 | 2006-07-02 |
| 1104866904 | Southwestern Eye Center | Clinic/Center | 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 | 2006-06-08 |
| 1083661573 | Emil Palensar | Physical Therapist | 2650 E Show Low Lake Rd, Show Low, AZ 85901-7955 | 2006-05-28 |
| 1851340079 | Barbara S Hamrick | Nurse Practitioner | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 | 2006-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
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| 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 |
|---|---|---|---|---|
| 1619086576 | Ronney L. Ferguson, M.d., P.C. | Orthopaedic Surgery | 2051 E Evergreen Ln, Suite A, Show Low, AZ 85901 | 2006-08-30 |
| 1861414054 | Ronney Lynn Ferguson | Orthopaedic Surgery | 2051 E Evergreen Lane, Suite A, Show Low, AZ 85901 | 2006-07-24 |
| 1619947223 | Veronica K Dowling | Orthopaedic Surgery | 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945194 | John C. Medlen, M.d., P.C. | Orthopaedic Surgery | 1701 W St Marys Rd Ste 145, Tucson, AZ 85745-2683 | 2020-06-05 |
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1003455197 | Gough Surgical Pllc | Orthopaedic Surgery | 9571 E Nittany Dr, Scottsdale, AZ 85255-5555 | 2020-01-06 |
| 1053877464 | Sgl Holdings LLC | Orthopaedic Surgery | 3501 N Scottsdale Rd Ste 221, Scottsdale, AZ 85251-5649 | 2019-02-11 |
| 1588134449 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 14044 W Camelback Rd Ste 120, Litchfield Park, AZ 85340-9428 | 2018-12-04 |
| 1841770450 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 3645 S Rome St Ste 201, Gilbert, AZ 85297-7338 | 2018-08-14 |
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1457831059 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 2152 S Vineyard Ste 129, Mesa, AZ 85210-6882 | 2018-08-14 |
| 1780163030 | Larry J. Sanders, M.d., Pllc. | Orthopaedic Surgery | 8235 S Pecan Grove Cir, Tempe, AZ 85284-2311 | 2018-08-08 |
| 1992299499 | Arizona Advanced Surgical Assists LLC | Orthopaedic Surgery | 5235 E Southern Ave Ste D106-440, Mesa, AZ 85206-3626 | 2018-06-18 |
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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.