Russell William White (NPI# 1174022206, PAC ID# 2668734963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174022206 |
| PAC ID by PECOS | 2668734963 |
| Professional Enrollment ID | I20180327000507 |
| Full Name | Russell William White |
| Organization Legal Name | COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA |
| Address |
6015 Pointe W Blvd Bradenton FL 34209-5532 |
| Phone Number | 9417921404 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274504386 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100213 | BLAKE MEDICAL CENTER |
| 100035 | MANATEE MEMORIAL HOSPITAL |
| 100299 | LAKEWOOD RANCH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6015 Pointe W Blvd, Bradenton, FL 34209-5532 | 9417921404 | COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA |
| Organization Legal Name | COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David V Cashen | Orthopedic Surgery | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 5101 4th Ave Circle E, Suite 500, Bradenton, FL 34208-5631 |
| Jason M Lee | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Daniel Kalogeropoulos | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Daniel S Lamar Jr. | Orthopedic Surgery | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Michael J Winicki | Physical Therapy | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Courtney B. Johnson | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Kristen F Riley | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 5101 4th Ave Circle E, Suite 500, Bradenton, FL 34208-5631 |
| Patrick Dermarkarian | Orthopedic Surgery | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 5101 4th Ave Circle E, Suite 500, Bradenton, FL 34208-5631 |
| Debra Hallenbake | Physical Therapy | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 5101 4th Ave Circle E, Suite 500, Bradenton, FL 34208-5631 |
| Tiffany Frickert | Physical Therapy | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 5101 4th Ave Circle E, Suite 500, Bradenton, FL 34208-5631 |
| Street Address |
6015 POINTE W BLVD |
| City | BRADENTON |
| State | FL |
| Zip | 34209-5532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Lee | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Daniel Kalogeropoulos | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Daniel S Lamar Jr. | Orthopedic Surgery | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Michael J Winicki | Physical Therapy | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Courtney B. Johnson | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Michelle Greer | Occupational Therapy | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Kristen Nichole Ball | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Jonathan P Kline | Certified Registered Nurse Anesthetist (crna) | Lakewood Ambulatory Anesthesia Pllc | 6015 Pointe W Blvd, Suite 101, Bradenton, FL 34209-5542 |
| James P Brickman | Certified Registered Nurse Anesthetist (crna) | Lakewood Ambulatory Anesthesia Pllc | 6015 Pointe W Blvd, Suite 101, Bradenton, FL 34209-5542 |
| Brianna C Love | Physician Assistant | Coastal Orthopedics and Sports Medicine of Southwest Florida Pa | 6015 Pointe W Blvd, Bradenton, FL 34209-5532 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Law | Internal Medicine | Sleep Manatee Pl | 5947 Riverview Blvd, Bradenton, FL 34209-1860 |
| Vishal Sharma | Internal Medicine | Center for Medicine Inc | 6400 Manatee Ave W, Suite A, Bradenton, FL 34209-2357 |
| Constance Elaine Russell | Clinical Social Worker | 6400 Manatee W Ave F, Bradenton, FL 34209-2357 | |
| Amanda S Briles | Nurse Practitioner | Center for Medicine Inc | 6400 Manatee Ave W, Suite A, Bradenton, FL 34209-2357 |
| Jane Ogden | Clinical Social Worker | 6404 Manatee Ave W, B, Bradenton, FL 34209-2358 | |
| Iliannette Rivera Colon | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
| Kaitlyn Bassett Faipler | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
| Heather J Crawford | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
| John A Pfeilsticker | Emergency Medicine | 6302 Manatee W Ave, Suite I 2, Bradenton, FL 34209-2377 | |
| Cari L Tingen | Clinical Social Worker | 211 50th St Ct Nw, Bradenton, FL 34209-2800 | |
| Find all physicians in zip 34209 | |||
| City | BRADENTON |
| Zip Code | 34209 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRADENTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Russell William White.
| 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.