ROBERT JOSEPH NETTUNE (NPI# 1154392082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154392082 |
| Entity Type | Individual |
| Full Name | ROBERT JOSEPH NETTUNE |
| Credential | MD |
| Practice Address |
1123 S Palestine St Ste 100 Athens TX 75751 |
| Practice Telephone | 9036755300 |
| Practice Fax Number | 9036771636 |
| Mailing Telephone | 9036755300 |
| Mailing Fax Number | 9036771636 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | F8591 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 0456290 | 01 | |
| CIGNA | 2217840 | 01 | |
| BLUE CROSS BLUE SHIELD | 88E866 | 01 | |
| AETNA | 4412054 | 01 |
| Street Address |
1123 S PALESTINE ST STE 100 |
| City | ATHENS |
| State | TX |
| Zip Code | 75751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763706 | David Lance Bowles | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2005-10-12 |
| 1952639452 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 1123 S Palestine St, Athens, TX 75751-3646 | 2009-11-23 |
| 1629200308 | Matthew Brian Rudolph | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2009-08-14 |
| 1124155957 | Athens Foot and Ankle Health and Surgery, PC | Durable Medical Equipment & Medical Supplies | 1123 S Palestine St, Suite 200, Athens, TX 75751-3646 | 2007-02-28 |
| 1013957232 | David Matthew Allen | Podiatrist | 1123 S Palestine St, Suite 200, Athens, TX 75751-3646 | 2006-06-07 |
| 1396734224 | Athens Orthopedic and Physical Therapy Center Pa | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2005-10-13 |
| 1174511281 | Kevin Lee Fain | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
| Find all providers in zip 75751 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1902249139 | Centrael Tyson Evans | Ophthalmology | 140 Trinity Pl Bldg B, Athens, GA 30607-2100 | 2013-04-08 |
| 1912263575 | Danielle C Ortman | Ophthalmology | 75 Hospital Dr Ste 110, Athens, OH 45701-2858 | 2012-04-09 |
| 1982647731 | Gregg Philip Moody | Ophthalmology | 15242 Greenfield Dr, Athens, AL 35613-2897 | 2006-06-13 |
| 1073550356 | Martine P Adogu | Ophthalmology | 1440 N Chase St, Athens, GA 30601-1850 | 2006-06-02 |
| 1467406983 | Keller, Crymes, & Demarco LLC | Ophthalmology | 105 Trinity Pl., Athens, GA 30607-2112 | 2006-05-20 |
| 1003869348 | Cleveland Eye Clinic Inc PC | Ophthalmology | 1609 Decatur Pike, Athens, TN 37303-2472 | 2006-05-18 |
| 1629051214 | Victor A. Crosby | Ophthalmology | 140 Trinity Pl, Bldg B, Athens, GA 30607-2100 | 2005-11-28 |
| 1356341119 | Jing Dong | Ophthalmology | 651 S Milledge Ave, Athens, GA 30605-1250 | 2005-07-22 |
| 1497758460 | Thad David Hardin | Ophthalmology | 1260 S Palestine St, Athens, TX 75751-3619 | 2005-05-24 |
| Find all providers in ATHENS | ||||
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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.