JONATHAN R PRITT (NPI# 1275654014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275654014 |
| Entity Type | Individual |
| Full Name | JONATHAN R PRITT |
| Credential | MD |
| Practice Address |
4500 W Newberry Rd Gainesville FL 32607-2245 |
| Practice Telephone | 3523366000 |
| Practice Fax Number | 3525483294 |
| Mailing Telephone | 3523366000 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 49839 | MN | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME112924 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 687187000 | 05 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053466615 | Georgia Sports Orthopedic Specialists | Orthopaedic Surgery | 1466 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3852 | 2007-01-24 |
| 1407024623 | Georgia Sports Orthopedic Specialists, L.l.c | Orthopaedic Surgery | 1466 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3852 | 2008-02-11 |
| 1750599239 | Camille Coates-clark | Orthopaedic Surgery | 1601 Sw Archer Road, Malcolm Randall Nf/sg Veterans Health System, Gainesville, FL 32608 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
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| 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.