E. DAVID RISCH, M.D., P.A. (NPI# 1134563679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134563679 |
| Entity Type | Organization |
| Organization Name | E. DAVID RISCH, M.D., P.A. |
| Practice Address |
6500 Crill Ave E David Risch Palatka FL 32177-9230 |
| Mailing Address |
Po Box 1459 Palatka FL 32178-1459 |
| Practice Telephone | 3869161074 |
| Mailing Telephone | 3869161074 |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2013-04-27 |
| Authorized Official Name | DR. EDWARD DAVID RISCH (OWNER) |
| Authorized Official Telephone | 3869161074 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME39524 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 066253400 | 05 | |
| TYPE 1 NPI | 1437152840 | 01 |
| Street Address |
6500 CRILL AVE E DAVID RISCH |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-9230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477519361 | Robert Pendrak | Family Medicine | 6500 Crill Ave, Palatka, FL 32177-9230 | 2006-04-21 |
| 1891309340 | Jacksonville Spine Center Pa | Pain Medicine | 6500 Crill Ave, Palatka, FL 32177-9230 | 2020-09-02 |
| 1598395816 | Express Urgent Care, LLC | Clinic/Center | 6500 Crill Ave, Bldg 3 Ste 5, Palatka, FL 32177-9231 | 2020-01-26 |
| 1831748623 | Andrea Margaret Bytheway | Nurse Practitioner | 6500 Crill Ave, Palatka, FL 32177-9230 | 2019-09-05 |
| 1144732504 | Thomas Llewellyn Christopher | Nurse Practitioner | 6500 Crill Ave, Palatka, FL 32177-9230 | 2017-10-25 |
| 1174892830 | Medex Primary Care | Clinic/Center | 6500 Crill Ave, Bldg 3 Ste 1, Palatka, FL 32177-9230 | 2011-12-23 |
| 1376830521 | Courtesy Transport Services, LLC | Ambulance | 6500 Crill Ave, Palatka, FL 32177-9230 | 2011-07-07 |
| 1740504737 | Deanna Wilkinson | Massage Therapist | 6500 Crill Ave, Suite 3, Palatka, FL 32177-6807 | 2010-03-18 |
| 1346481629 | Med Ex | Preferred Provider Organization | 6500 Crill Ave, Palatka, FL 32177-6807 | 2009-03-16 |
| 1841463601 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 6500 Crill Ave, Palatka, FL 32177-6807 | 2008-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659541548 | Homer A Paschall Md Pa | Orthopaedic Surgery | 310 S Palm Ave Ste 3, Palatka, FL 32177-4161 | 2008-03-06 |
| 1689646663 | Karl Matthew Baird | Orthopaedic Surgery | 414 Zeagler Dr, Palatka, FL 32177-3815 | 2006-02-03 |
| 1518947290 | Michael John Maggitti | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2006-01-19 |
| 1134124969 | Allain A Girouard | Orthopaedic Surgery | 6061 St Johns Avenue, Suite 1, Palatka, FL 32177 | 2005-06-17 |
| 1780957944 | Putnam Physician Practices, LLC | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2012-02-20 |
| 1508193327 | Putnam Physician Practices LLC | Orthopaedic Surgery | 3314 Crill Ave, Palatka, FL 32177-4162 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.