PANHANDLE ORTHOPAEDICS LLC (NPI# 1902850258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902850258 |
| Entity Type | Organization |
| Organization Name | PANHANDLE ORTHOPAEDICS LLC |
| Practice Address |
710 Hospital Drive Crestview FL 32539 |
| Practice Telephone | 8503988480 |
| Practice Fax Number | 8503988482 |
| Mailing Telephone | 8503988480 |
| Mailing Fax Number | 8503988482 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | MICHAEL D GILMORE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8503988480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225200000X | Physical Therapy Assistant | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 363A00000X | Physician Assistant | FL | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
FL | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
FL | Allopathic & Osteopathic Physicians | |
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
FL | Allopathic & Osteopathic Physicians | |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
FL | Allopathic & Osteopathic Physicians | |
| N | 225100000X | Physical Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 207X00000X | Orthopaedic Surgery | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | 004K2 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952644221 | Panhandle Orthopaedics LLC | Orthopaedic Surgery | 2401 Langley Ave Unit B, Pensacola, FL 32504-8922 | 2013-04-04 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1588145890 | Panhandle Orthopaedics LLC | Orthopaedic Surgery | 2401 Langley Ave Unit B, Pensacola, FL 32504-8922 | 2018-08-24 |
| 1023599339 | Panhandle Orthopaedics LLC | Orthopaedic Surgery | 710 Hospital Dr, Crestview, FL 32539-7380 | 2018-08-24 |
| 1922589233 | Panhandle Orthopaedics LLC | Orthopaedic Surgery | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407-2717 | 2018-08-24 |
| Street Address |
710 HOSPITAL DRIVE |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992982458 | Deborah D Goodwin | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| 1093707309 | Robert Po-chen Huang | Orthopaedic Surgery | 710 Hospital Dr, Crestview, FL 32539 | 2005-08-22 |
| Find all providers in zip 32539 | ||||
| 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 |
|---|---|---|---|---|
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1023599339 | Panhandle Orthopaedics LLC | Orthopaedic Surgery | 710 Hospital Dr, Crestview, FL 32539-7380 | 2018-08-24 |
| 1851570071 | Crestview Hospital Corporation | Orthopaedic Surgery | 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 | 2007-10-25 |
| 1013961283 | Michael Dow Gilmore | Orthopaedic Surgery | 710 Hospital Dr, Crestview, FL 32539 | 2006-05-20 |
| 1851352322 | David Adam Lalli | Orthopaedic Surgery | 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 | 2006-03-31 |
| 1043282528 | David Joseph Dean | Orthopaedic Surgery | 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 | 2006-02-07 |
| 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 |
| 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 |
| 1316577638 | Metro Orthopedic Specialists, LLC | Orthopaedic Surgery | 7300 Sand Lake Cmn Ste 312, Orlando, FL 32819-8050 | 2020-01-26 |
| Find all providers with the same taxonomy | ||||
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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.