DR. PAUL SEBASTIAN ROETTGES (NPI# 1609214246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609214246 |
| Entity Type | Individual |
| Full Name | DR. PAUL SEBASTIAN ROETTGES |
| Credential | M.D. |
| Practice Address |
1 Orthopaedic Pl St Augustine FL 32086 |
| Mailing Address |
1 Orthopaedic Pl St Augustine FL 32086-4202 |
| Practice Telephone | 9048250540 |
| Practice Fax Number | 9048252490 |
| Mailing Telephone | 9048250540 |
| Mailing Fax Number | 9048252490 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | R73929 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
ME134760 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1609 N Warren Ave, Suite 110, Tucson, AZ 857245064 | 5206269245 | 5206262668 |
| 4500 San Pablo Rd S, Jacksonville, FL 32224 | 9049532000 |
| Street Address |
1 ORTHOPAEDIC PL |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134721 | Jarrod D Roussel | Physician Assistant | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2006-02-21 |
| 1477945699 | Joshua Lasoff | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2015-02-25 |
| 1013319540 | David Anthony Eldridge | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2014-09-16 |
| 1285054676 | Matthew W. Schonder | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2014-04-24 |
| 1710301205 | Joshua Michael Henry | Family Medicine | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2014-02-05 |
| 1043640477 | Adam Mcmullen | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2013-11-21 |
| 1871931444 | Ashton Phillips | Nurse Practitioner | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2013-06-05 |
| 1588906945 | Alexander Jeffrey Lampley | Orthopaedic Surgery | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2013-03-25 |
| 1194084921 | Jacob Tyler Fouts | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2012-05-14 |
| 1811266794 | Michael Eric Milek | Specialist/Technologist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2011-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289377 | Ortho Florida, LLC | Orthopaedic Surgery | 5130 Linton Blvd Ste B2, Delray Beach, FL 33484-6595 | 2018-06-19 |
| 1801318423 | Royal Palm Beach Rehab, Corp | Orthopaedic Surgery | 600 University Blvd Ste 104, Jupiter, FL 33458-2778 | 2017-07-14 |
| 1902255854 | Carlos Segovia | Orthopaedic Surgery | 17779 Sw 2nd Street, Pembroke Pines, FL 33029 | 2016-06-10 |
| 1437520509 | Timothy Joseeph Forness | Orthopaedic Surgery | 3802 Dogwood Ave, Palm Beach Gardens, FL 33410-4755 | 2015-10-14 |
| 1275927766 | Robert O'leary | Orthopaedic Surgery | 1150 Campo Sano Ave Fl 2, Coral Gables, FL 33146-1174 | 2015-03-24 |
| 1134548019 | Alexander David Gaukhman | Orthopaedic Surgery | 670 Glades Rd Ste 300, Boca Raton, FL 33431-6464 | 2014-04-08 |
| 1124379706 | Elvis Grandic Md Pa | Orthopaedic Surgery | 7744 Dawson Ct, Lake Worth, FL 33467-7719 | 2012-09-24 |
| 1104184951 | Thomas Jacob Seales | Orthopaedic Surgery | 2021 Nw 136th Ave Apt 284, Sunrise, FL 33323-5375 | 2012-04-30 |
| 1558629527 | Tri-county Orthopaedic Center, Pa | Orthopaedic Surgery | 765 Hwy 466, Lady Lake, FL 32159-6340 | 2012-04-27 |
| 1518233956 | Joshua Dov Rogozinski | Orthopaedic Surgery | 3716 University Blvd S., Suite 3, Jacksonville, FL 32216 | 2012-03-29 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.