ANDREW BOLTUCH (NPI# 1265815450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265815450 |
| Entity Type | Individual |
| Full Name | ANDREW BOLTUCH |
| Credential | D.O. |
| Practice Address |
201 14th St Sw Largo FL 33770-3133 |
| Mailing Address |
1300 Se Ranch Rd Jupiter FL 33478-2104 |
| Practice Telephone | 5613124042 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | UO4442 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
201 14TH ST SW |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441451 | Anthony Ottaviani | Internal Medicine | 201 14th St Sw, Largo, FL 33770-3133 | 2005-10-21 |
| 1598373235 | Michelle Carter | Pharmacist | 201 14th St Sw, Largo, FL 33770-3133 | 2020-07-20 |
| 1740898840 | Karen Kritsky Do Pllc | Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2020-07-15 |
| 1023639101 | Sandra Neeld | Nurse Practitioner | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-30 |
| 1992334544 | Rohini Singh | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-06 |
| 1174152532 | Parth Sanjeev Patel | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-06 |
| 1255960183 | Jenny Susan Mathew | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-03 |
| 1295363331 | Hamza Saqib Khan | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-01 |
| 1558999698 | Sara Emmalyn P. Andrews | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-01 |
| 1316575863 | Zain Abidi | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
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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 |
|---|---|---|---|---|
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| 1225023989 | Brian D. Burke | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 110, Largo, FL 33777-1207 | 2005-09-19 |
| 1164425419 | Stephen J Ilario | Orthopaedic Surgery | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2005-05-31 |
| 1770070336 | Kevin Elary Fox | Orthopaedic Surgery | 201 14th St Sw, Largo, FL 33770-3199 | 2018-04-19 |
| 1932551660 | David Crandall II | Orthopaedic Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2016-07-06 |
| 1619325644 | Phillip Sussman | Orthopaedic Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2016-05-31 |
| 1831432376 | Philip W Christ Do Pa | Orthopaedic Surgery | 13787 Belcher Rd S, Suite 330, Largo, FL 33771-4065 | 2013-04-03 |
| 1992051809 | Marc Alen Richman | Orthopaedic Surgery | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2012-07-29 |
| 1689953705 | Ali Zahrai | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2011-08-07 |
| 1871898585 | Matthew Hutchison | Orthopaedic Surgery | 1345 W Bay Dr, Suite 401 & 402, Largo, FL 33770-2282 | 2011-01-12 |
| Find all providers in LARGO | ||||
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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.