STEPHEN T ENGUIDANOS M D P A (NPI# 1144252925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144252925 |
| Entity Type | Organization |
| Organization Name | STEPHEN T ENGUIDANOS M D P A |
| Practice Address |
550 Twin Cities Blvd Ste A Niceville FL 32578-1050 |
| Practice Telephone | 8507291444 |
| Mailing Telephone | 8507291444 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | CONNIE HARRISON (PRACTICE MANAGER) |
| Authorized Official Telephone | 8507291444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME86400 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DR3144 | 01 |
| Street Address |
550 TWIN CITIES BLVD STE A |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235293804 | Lee Richerson Mackin | Physician Assistant | 550 Twin Cities Blvd Ste A, Niceville, FL 32578-1050 | 2006-12-20 |
| 1922031509 | Mark S. Calkins, Md, Pa. | Orthopaedic Surgery | 550 Twin Cities Blvd Ste A, Niceville, FL 32578-1050 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1346277860 | Coastal Orthopedic | Orthopaedic Surgery | 99 Bahia Vista Dr, Niceville, FL 32578-3617 | 2006-06-28 |
| 1346205291 | Erin Robinson | Orthopaedic Surgery | 1950 Bluewater Blvd, Ste 100, Niceville, FL 32578-3887 | 2006-04-20 |
| 1386916237 | Emerald Coast Neck & Back Clinic, P.a. | Orthopaedic Surgery | 1003 College Blvd W, Suite 4, Niceville, FL 32578-1068 | 2012-02-07 |
| 1659464196 | Bradley James Goeke | Orthopaedic Surgery | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3887 | 2006-10-02 |
| 1831100387 | William Joseph Markowski | Orthopaedic Surgery | 1950 Bluewater Blvd, Suite 100 Bluewater Orthopedics Pa, Niceville, FL 32578 | 2006-08-10 |
| 1215948963 | Thomas Michael Fox | Orthopaedic Surgery | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3887 | 2006-08-10 |
| 1922031509 | Mark S. Calkins, Md, Pa. | Orthopaedic Surgery | 550 Twin Cities Blvd Ste A, Niceville, FL 32578-1050 | 2006-07-08 |
| 1417989617 | Bluewater Orthopedics Pa | Orthopaedic Surgery | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3887 | 2006-07-07 |
| 1821025008 | Stephen T Enguidanos | Orthopaedic Surgery | 550 Twin Cities Blvd, Niceville, FL 32578-1067 | 2006-06-26 |
| 1699719161 | Bluewater Orthopedics, P.a. | Orthopaedic Surgery | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3887 | 2006-06-15 |
| Find all providers in NICEVILLE | ||||
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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.