JONATHAN ROSS DATTILO (NPI# 1790101608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790101608 |
| Entity Type | Individual |
| Full Name | JONATHAN ROSS DATTILO |
| Credential | M.D. |
| Practice Address |
6015 Pointe West Blvd Bradenton FL 34209-5525 |
| Mailing Address |
867 Markley Woods Way Cincinnati OH 45230-4355 |
| Practice Telephone | 9417921404 |
| Practice Fax Number | 9417610712 |
| Mailing Telephone | 5132565629 |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME144420 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6015 POINTE WEST BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894613 | Dana E Moulton | Occupational Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2005-07-14 |
| 1356989370 | Erin Sperling | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2019-12-20 |
| 1700361425 | Miranda Jane Anziano | Physical Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2018-09-27 |
| 1174022206 | Russell William White | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2018-02-05 |
| 1386168433 | Memory Smith | Nurse Practitioner | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-31 |
| 1164946752 | Courtney Johnson | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-26 |
| 1114467669 | Daniel Kalogeropoulos | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2017-03-02 |
| 1841663853 | Marie Stewart | Physical Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2015-11-12 |
| 1477931558 | Chelsea Anne Taylor | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2015-05-11 |
| 1013313733 | Lakewood Ambulatory Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 6015 Pointe West Blvd, Ste 101, Bradenton, FL 34209-5525 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1780913558 | Anthony John Ferretti | Orthopaedic Surgery | 701 17th Ave W, Bradenton, FL 34205-7665 | 2009-12-08 |
| 1720155161 | Thomas A Schroeter Md Pa | Orthopaedic Surgery | 6114 Manatee Avenue West, Bradenton, FL 34209 | 2006-11-29 |
| 1568471134 | Richard Earl Calvin | Orthopaedic Surgery | 4727 Spinnaker Dr, Bradenton, FL 34208-8492 | 2006-08-05 |
| 1689698748 | Sajeevakumar Krishnan Nair | Orthopaedic Surgery | 1922 53rd Ave E Ste A, Bradenton, FL 34203-4236 | 2006-07-26 |
| 1154390532 | Michael Anthony Retino | Orthopaedic Surgery | 201 4th Ave E Ste 4, Bradenton, FL 34208-1043 | 2006-03-16 |
| 1831165281 | John R Ayres | Orthopaedic Surgery | 2105 Manatee Ave E, Bradenton, FL 34208-1640 | 2006-02-27 |
| 1720053127 | Patrick J Grablin Md Pa | Orthopaedic Surgery | 530 5th St E, Bradenton, FL 34208 | 2006-02-20 |
| 1902877830 | Rafat S Nashed | Orthopaedic Surgery | 300 Riverside Dr E Ste 1500, Bradenton, FL 34208-1031 | 2006-01-30 |
| 1013553080 | Precision Orthopedic Specialists, Pllc | Orthopaedic Surgery | 201 4th Ave E Ste 4, Bradenton, FL 34208-1043 | 2019-11-25 |
| 1972017275 | Excel Care Orthopedics, Pllc | Orthopaedic Surgery | 300 Riverside Dr E Ste 1300, Bradenton, FL 34208-1022 | 2017-11-22 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on JONATHAN ROSS DATTILO.
| 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.