Russell White (NPI# 1508306473, PAC ID# 2860778016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1508306473 |
PAC ID by PECOS | 2860778016 |
Professional Enrollment ID | I20170424002396 |
Full Name | Russell White |
Organization Legal Name | BLUEWATER ORTHOPEDICS PA |
Address |
1950 Bluewater Blvd Suite 100 Niceville FL 32578-3888 |
Phone Number | 8508978081 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2769473404 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100054 | TWIN CITIES HOSPITAL |
100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
100122 | NORTH OKALOOSA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 | 8508978081 | BLUEWATER ORTHOPEDICS PA |
Organization Legal Name | BLUEWATER ORTHOPEDICS PA |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Genia Gartman | Physical Therapy | Bluewater Orthopedics Pa | 120 E Redstone Ave, Suite B, Crestview, FL 32539-5370 |
Rustin G Sorensen | Physician Assistant | Bluewater Orthopedics Pa | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 |
Steven S Donchey | Internal Medicine | Bluewater Orthopedics Pa | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 |
Thomas Fox | Orthopedic Surgery | Bluewater Orthopedics Pa | 7720 Us Hwy 98 W, Destin, FL 32550-7321 |
Erin N Robinson | Physician Assistant | Bluewater Orthopedics Pa | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 |
Bradley J Goeke | Orthopedic Surgery | Bluewater Orthopedics Pa | 7720 Us Hwy 98 W, Destin, FL 32550-7321 |
William Joseph Markowski | Orthopedic Surgery | Bluewater Orthopedics Pa | 7720 Us Hwy 98 W, Destin, FL 32550-7321 |
Street Address |
1950 BLUEWATER BLVD SUITE 100 |
City | NICEVILLE |
State | FL |
Zip | 32578-3888 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rustin G Sorensen | Physician Assistant | Bluewater Orthopedics Pa | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 |
Steven S Donchey | Internal Medicine | Bluewater Orthopedics Pa | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 |
Ronald Holthaus | Physical Therapy | Orthopedic and Sports Physical Therapy Center LLC | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3888 |
David A Davis | Physical Therapy | Orthopedic and Sports Physical Therapy Center LLC | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3888 |
Erin N Robinson | Physician Assistant | Bluewater Orthopedics Pa | 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 |
Susan Garbotz Mckenzie | Nurse Practitioner | Steven S Donchey Mdpa | 1950 Bluewater Blvd, Suite 201, Niceville, FL 32578-3888 |
Janeal Musser | Nurse Practitioner | Steven S Donchey Mdpa | 1950 Bluewater Blvd, Suite 201, Niceville, FL 32578-3888 |
Ross S Burks | Physical Therapy | Orthopedic and Sports Physical Therapy Center LLC | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3888 |
Krystel M Nola | Physical Therapy | Orthopedic and Sports Physical Therapy Center LLC | 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 |
David Y Lee | Physical Therapy | Orthopedic and Sports Physical Therapy Center LLC | 1950 Bluewater Blvd, Niceville, FL 32578-3887 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Monica Panwar Barnes | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Kapil Puri | Urology | 490 Hwy 85 N A, Niceville, FL 32578-1045 | |
Joe E Rogers Jr. | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Michelle A Magboo | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Zachary W Wilson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Jeffrey S Burbidge | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Leslie J Bridges | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Ekta I Kade | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Katrina L. Tringas | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
William S Carlson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
Find all physicians in zip 32578 |
City | NICEVILLE |
Zip Code | 32578 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | NICEVILLE + PHYSICIAN ASSISTANT |
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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.