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Deactivated NPI 1043399066 Deactivated / Inactive NPI Male Practitioner

Carl E Bush , PA-C

Physician Assistant • Macdill Afb, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carl Bush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2006
NPI Deactivation Date January 15, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Carl Bush, PA-C was a registered Physician Assistant practicing in Macdill Afb, FL. Throughout an active medical career spanning 15 years, Carl Bush provided care at the practice location at 3250 ZEMKE AVE until profile deactivation on 2021-01-15.

Practice Location & Contact Primary Location

Practice Address

3250 Zemke Ave
6 Amds/sgpf

Macdill Afb, FL 336215409

Telephone 8138279211
Fax 8138289000
Associated Practice Facility / Clinic
🏢 6th Medgrp-Macdill Facility NPI 1891756151

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Macdill Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Macdill Afb, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA2314

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Jordan Huffman , PT, DPT

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1013566165

Physical Therapist, Doctor of Physical Therapy

Marjorie Finlay , PA

Physician Assistant - Medical

NPI 1144272428

Physician Assistant

NPI 1265948897

PHYSICIANASSISTANT

Dr. Emmanuel Naval , MD

General Practice

NPI 1598759532

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2021

Record deactivated on January 15, 2021

NPI Profile Active June 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2012

Registered at 3250 ZEMKE AVE, 6 AMDS/SGPF, MACDILL AFB, FL 336215409 (Tel: 8138279211)

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Updated Business Mailing Address June 19, 2012

Registered at 3250 ZEMKE AVE, 6 AMDS/SGPF, MACDILL AFB, FL 336215409 (Tel: 8138279211)

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Provider Name / Credentials Updated June 19, 2012

Recorded as CARL BUSH, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2012

Physician Assistant (License #PA2314 in FL)

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Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043399066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: June 19, 2012
Deactivation Date: January 15, 2021

Mailing Address

3250 Zemke Ave, 6 Amds/sgpf

Macdill Afb, FL 336215409

Phone: 8138279211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.