Bruce G Blackstone (NPI# 1891760211, PAC ID# 0941239321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1891760211 |
| PAC ID by PECOS | 0941239321 |
| Professional Enrollment ID | I20050817001027 |
| Full Name | Bruce G Blackstone |
| Organization Legal Name | LONGVIEW ORTHOPEDIC ASSOCIATES, PLLC |
| Address |
625 9th Ave Suite 210 Longview WA 98632-2465 |
| Phone Number | 3605013400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7315976792 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 625 9th Ave, Suite 210, Longview, WA 98632-2465 | 3605013400 | LONGVIEW ORTHOPEDIC ASSOCIATES, PLLC |
| Organization Legal Name | LONGVIEW ORTHOPEDIC ASSOCIATES, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichol Suzanne Halverson | Nurse Practitioner | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Jacob M Mcleod | Podiatry | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Anthony J Lauder | Hand Surgery | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Acacia Syring | Nurse Practitioner | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Jon E Kretzler | Orthopedic Surgery | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Christine L Matthews | Physician Assistant | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Street Address |
625 9TH AVE SUITE 210 |
| City | LONGVIEW |
| State | WA |
| Zip | 98632-2465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichol Suzanne Halverson | Nurse Practitioner | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Brian J Kitzerow | Physical Therapy | Longview Physical and Sports Therapy Services Ps | 625 9th Ave, Suite 220, Longview, WA 98632-2465 |
| Jacob M Mcleod | Podiatry | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Julie A Berridge | Physical Therapy | Longview Physical and Sports Therapy Services Ps | 625 9th Ave, Suite 220, Longview, WA 98632-2465 |
| John M Kowalski | Physical Therapy | Longview Physical and Sports Therapy Services Ps | 625 9th Ave, Suite 220, Longview, WA 98632-2465 |
| Patrick M Lassen | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Bruce E Peterson | Physical Therapy | Longview Physical and Sports Therapy Services Ps | 625 9th Ave, Suite 220, Longview, WA 98632-2465 |
| Anthony J Lauder | Hand Surgery | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Acacia Syring | Nurse Practitioner | Longview Orthopedic Associates, Pllc | 625 9th Ave, Suite 210, Longview, WA 98632-2465 |
| Jonathan Crandall | Certified Registered Nurse Anesthetist (crna) | Longview Anesthesiology Group, PC | 625 9th Ave, Longview, WA 98632-2464 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Mansfield | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Chad C Chesley | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Jodie E Brewer-peet | Physician Assistant | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Saeyeal K Lee | Obstetrics/gynecology | Peacehealth | 1660 Delaware St, Longview, WA 98632-2310 |
| Riyad Caradog Karmy-jones | General Surgery | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Kim W Stoneking | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Yoon Hee Amy Chang | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Peter J Leyzac | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Donna K Lynds | Nurse Practitioner | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Olaseni A Shoroye | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Find all physicians in zip 98632 | |||
| City | LONGVIEW |
| Zip Code | 98632 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LONGVIEW + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Bruce G Blackstone.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.