| Dr William Logan Tontz Jr, MD | |
|
802 40th St W, Bradenton, FL 34205-1724 | |
| (941) 205-0201 | |
| (941) 210-6300 |
| Full Name | Dr William Logan Tontz Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 802 40th St W, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659332682 | NPI | - | NPPES |
| 003738300 | Medicaid | FL | |
| 209658006 | Other | IL | MEDICARE PTAN |
| 00A697460 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | A69746 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | ME110180 (Florida) | Primary |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | California Orthopaedic Institute Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659317204 PECOS PAC ID: 1456246388 Enrollment ID: O20040218001020 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Logan Tontz Jr, MD 802 40th St W, Bradenton, FL 34205-1724 Ph: (941) 205-0201 | Dr William Logan Tontz Jr, MD 802 40th St W, Bradenton, FL 34205-1724 Ph: (941) 205-0201 |
David V Cashen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-795-1717 | |
Daniel S Lamar, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-795-1717 | |
Dr. Brendon R Connolly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 5th St E, Bradenton, FL 34208 Phone: 941-757-3521 Fax: 941-714-0869 | |
Dr. Michael Anthony Retino, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 4th Ave E Ste 4, Bradenton, FL 34208 Phone: 941-226-8844 Fax: 941-226-8845 | |
Patrick Dermarkarian, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 | |
Brian Howard Goldman, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 Riverside Dr E Ste 1500, Bradenton, FL 34208 Phone: 941-741-3338 | |
Dr. Sara Putnam Simmons, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-795-1717 |