Russell White
BLUEWATER ORTHOPEDICS PA


Address: 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888
Phone: 8508978081

Russell White (NPI# 1508306473, PAC ID# 2860778016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100054 TWIN CITIES HOSPITAL
100292 SACRED HEART HOSPITAL ON THE EMERALD COAST
100122 NORTH OKALOOSA MEDICAL CENTER

Other Locations

Address Phone Organization
1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3888 8508978081 BLUEWATER ORTHOPEDICS PA

Organization Information

Organization Legal Name BLUEWATER ORTHOPEDICS PA
Physicians 8

Physicians with the same organization

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

Office Location

Street Address 1950 BLUEWATER BLVD
SUITE 100
City NICEVILLE
State FL
Zip 32578-3888

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City NICEVILLE
Zip Code 32578
Specialty PHYSICIAN ASSISTANT
City + Specialty NICEVILLE + PHYSICIAN ASSISTANT

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Dataset Information

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.

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