Paul Sebastian Roettges (NPI# 1609214246, PAC ID# 4789905548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1609214246 |
| PAC ID by PECOS | 4789905548 |
| Professional Enrollment ID | I20180723001117 |
| Full Name | Paul Sebastian Roettges |
| Organization Legal Name | ORTHOPAEDIC ASSOC OF ST AUGUSTINE PA |
| Address |
1 Orthopaedic Pl St Augustine FL 32086-4202 |
| Phone Number | 9048250540 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7012978737 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100090 | FLAGLER HOSPITAL |
| 100151 | MAYO CLINIC FLORIDA |
| Address | Phone | Organization |
|---|---|---|
| 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 9048250540 | ORTHOPAEDIC ASSOC OF ST AUGUSTINE PA |
| 3055 County Rd 210, Unit 110, St Johns, FL 32259-7001 | 9048250540 | ORTHOPAEDIC ASSOC OF ST AUGUSTINE PA |
| Organization Legal Name | ORTHOPAEDIC ASSOC OF ST AUGUSTINE PA |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Anthony Eldridge | Physical Therapy | Orthopaedic Assoc of St Augustine Pa | 3055 County Rd 210, Unit 110, St Johns, FL 32259-7001 |
| Sina Kasraeian | Orthopedic Surgery | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Brian Emerson | Nurse Practitioner | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Kurtis Hort | Orthopedic Surgery | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Richard Hanel | Nurse Practitioner | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Brian Haycook | Orthopedic Surgery | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Joshua Lasoff | Physical Therapy | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Jarrod D Roussel | Physician Assistant | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Earnest E Kepler | Physician Assistant | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Beth S Pearce | Podiatry | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Street Address |
1 ORTHOPAEDIC PL |
| City | ST AUGUSTINE |
| State | FL |
| Zip | 32086-4202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sina Kasraeian | Orthopedic Surgery | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Brian Emerson | Nurse Practitioner | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Kurtis Hort | Orthopedic Surgery | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Richard Hanel | Nurse Practitioner | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Brian Haycook | Orthopedic Surgery | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Joshua Lasoff | Physical Therapy | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Jarrod D Roussel | Physician Assistant | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Earnest E Kepler | Physician Assistant | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Beth S Pearce | Podiatry | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Patrick R Thompson | Physician Assistant | Orthopaedic Assoc of St Augustine Pa | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana D Reynolds | Nurse Practitioner | First City Hospitalists Group Pllc | 3 Rd, St Augustine, FL 32086 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| James Bernard | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| Josep Genebriera-de Lamo | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Jose Concha | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| David C Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
| Andrew Raymond Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Hyacinth Wallace | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Find all physicians in zip 32086 | |||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ST AUGUSTINE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Paul Sebastian Roettges.
| 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.