SOUTHERN ORTHOPEDIC SPINE SURGERY, LLC (NPI# 1689179053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689179053 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORTHOPEDIC SPINE SURGERY, LLC |
| Practice Address |
1399 Jenks Ave Bldg G Panama City FL 32401-2442 |
| Practice Telephone | 8507712001 |
| Practice Fax Number | 8502154229 |
| Mailing Telephone | 8507712001 |
| Mailing Fax Number | 8502154229 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | CORY R. GAISER (OWNER) |
| Authorized Official Telephone | 8507712001 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1399 JENKS AVE BLDG G |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386689867 | Cory R Gaiser | Orthopaedic Surgery | 1399 Jenks Ave Bldg G, Panama City, FL 32401 | 2006-06-18 |
| 1881228476 | Colin Lee Gallien | Nurse Practitioner | 1399 Jenks Ave Bldg G, Panama City, FL 32401-2442 | 2020-02-24 |
| 1336599356 | Monica Davila | Nurse Practitioner | 1399 Jenks Ave Bldg G, Panama City, FL 32401-2442 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| 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 |
|---|---|---|---|---|
| 1679916860 | Michael L Adams Md LLC | Orthopaedic Surgery | 2202 State Ave Ste 300, Panama City, FL 32405-4590 | 2013-04-08 |
| 1720008220 | Weems Roland Mcarthur Md Pa | Orthopaedic Surgery | 400 W 19th St, Panama City, FL 32405-4602 | 2006-07-20 |
| 1346273166 | Steven E Goodwiller Md Pa | Orthopaedic Surgery | 402 W 19th Street, Panama City, FL 32405-4651 | 2006-07-07 |
| 1871522250 | David R Dietrich | Orthopaedic Surgery | 120 N Richard Jackson Blvd Ste 140, Panama City, FL 32407 | 2006-06-30 |
| 1447295985 | Michael X Rohan | Orthopaedic Surgery | 408 W 19th St, Panama City, FL 32405-4602 | 2006-06-18 |
| 1386689867 | Cory R Gaiser | Orthopaedic Surgery | 1399 Jenks Ave Bldg G, Panama City, FL 32401 | 2006-06-18 |
| 1417990995 | James G Floyd | Orthopaedic Surgery | 601 North Bonita Avenue Bay Medical Center, Panama City, FL 32401 | 2006-06-13 |
| 1578521092 | James Mcghee Talkington | Orthopaedic Surgery | 2428 Jenks Ave, Panama City, FL 32405 | 2006-05-03 |
| 1396709879 | William C Lennen | Orthopaedic Surgery | 801 E 6th St Ste 304, Panama City, FL 32401-3663 | 2006-04-13 |
| 1447248836 | James C Mcloughlin | Orthopaedic Surgery | 742 Harrison Ave, Panama City, FL 32405 | 2005-10-10 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on SOUTHERN ORTHOPEDIC SPINE SURGERY, LLC.
| 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.