BLUEWATER ORTHOPEDICS, PA (NPI# 1780628255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780628255 |
Entity Type | Organization |
Organization Name | BLUEWATER ORTHOPEDICS, PA |
Practice Address |
1950 Bluewater Blvd Suite 100 Niceville FL 32578-3887 |
Practice Telephone | 8508978081 |
Practice Fax Number | 8508971520 |
Mailing Telephone | 8508978081 |
Mailing Fax Number | 8508971520 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LINDA ANN STRICKLAND (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 8508978081 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
ME0060265 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBSFL | 14883B | 01 |
Street Address |
1950 BLUEWATER BLVD SUITE 100 |
City | NICEVILLE |
State | FL |
Zip Code | 32578-3887 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346205291 | Erin Robinson | Orthopaedic Surgery | 1950 Bluewater Blvd, Ste 100, Niceville, FL 32578-3887 | 2006-04-20 |
1508306473 | Russell White | Physician Assistant | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3887 | 2017-02-27 |
1750621223 | Ross Steven Burks | Physical Therapist | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 | 2013-02-21 |
1114225547 | Melyssa R Deveney | Physical Therapy Assistant | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 | 2011-03-09 |
1962666974 | Steven S Donchey Mdpa | Internal Medicine | 1950 Bluewater Blvd, Suite 201, Niceville, FL 32578-3887 | 2008-07-18 |
1306036363 | Ronald Holthaus | Physical Therapist | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 | 2007-07-26 |
1902929458 | Christopher Edmonsond | Physical Therapist | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 | 2007-04-09 |
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 |
1164433827 | Rustin G Sorensen | Physician Assistant | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578 | 2006-08-10 |
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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 | 207RS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sports Medicine |
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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1164033718 | Greenacres Health & Rehab LLC | Internal Medicine | 4010 S 57th Ave Ste 101, Greenacres, FL 33463-4301 | 2020-08-16 |
1205218070 | Atlas Medical and Orthopedics | Internal Medicine | 6864 Forest Hill Blvd, Suite B, Greenacres, FL 33413-3339 | 2015-06-29 |
1477854370 | Medfit, LLC | Internal Medicine | 9510 Corkscrew Palms Cir Ste 1, Estero, FL 33928-3308 | 2010-11-08 |
1447338587 | Kenneth P Barnes | Internal Medicine | The University of Miami Sports Medicine Institute, 5555 Ponce De Leon Blvd., 3rd Floor, Coral Gables, FL 33146 | 2006-11-02 |
1760429989 | Chris Kunis | Internal Medicine | 2102 Sw 20th Pl Bldg 100, Ocala, FL 34471-0856 | 2006-05-31 |
1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
1700434537 | Tri-county Regenerative Medicine, LLC | Internal Medicine | 1848 N Nob Hill Rd, Plantation, FL 33322-6548 | 2019-08-26 |
1730575044 | Reza Alavi | Internal Medicine | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 | 2015-04-13 |
1780076695 | Boca Sports Therapy Inc | Internal Medicine | 851 Meadows Rd, Ste 212, Boca Raton, FL 33486-2348 | 2015-03-02 |
1962799213 | Pga Chiropractic Health Center Pa | Internal Medicine | 10800 N Military Trl, Ste # 111, Palm Beach Gardens, FL 33410-6500 | 2011-07-07 |
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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.