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Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.

As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.

Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.

In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.

Mark Nicholas Perenich, DO, is an accomplished, board-certified orthopedic spine surgeon at the Spine Institute of Florida, formerly Tampa Back Institute, with locations in Crystal River, Dade City, Spring Hill, and Tampa, Florida. 

Specializing in minimally invasive spine surgery techniques, Dr. Perenich obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Later, he completed his residency in Orthopedic Surgery at the Largo Medical Center in Florida. He then completed a fellowship in Spine Surgery at the prestigious Texas Back Institute. 

Dr. Perenich is passionate about treating patients with spine-related conditions and is dedicated to providing the highest quality of care. He is known for his expertise in minimally invasive techniques, which help to reduce pain, minimize scarring, and shorten recovery times. 

A member of several professional organizations, including the AOA Board of Orthopedic Surgery and the American Osteopathic Association, Dr. Perenich has authored several publications and presentations related to spine surgery and is committed to staying at the forefront of advancements in his field.

When not in the operating room, Dr. Perenich enjoys spending time with his family, traveling, and participating in outdoor activities such as wake surfing and boating.

Scott Brotherton, MD, at Orthopedic Specialists in Palm Harbor, Florida, is an accomplished orthopedic surgeon with a military background. After graduating high school, he attended the University of Alabama at Birmingham for his undergraduate training, then earned his medical degree from Florida State University College of Medicine in Tallahassee. 

Dr. Brotherton completed his surgical internship at Orlando Regional Medical Center and moved to upstate New York for his orthopedic residency at Albany Medical Center, where he focused heavily on orthopedic trauma and arthroplasty.

After completing his residency, Dr. Brotherton started his service in the United States Air Force. For his first assignment at Osan Air Base in South Korea, he provided orthopedic care to over 10,000 active duty soldiers and their dependents. During his service in the Air Force, he attained the rank of major and was awarded the Air Force Commendation Medal for his excellent service overseas. Dr. Brotherton then returned to his native Florida and completed his military service at Eglin Air Force Base in Florida’s panhandle. 

In his pursuit of higher learning, Dr. Brotherton completed a sports medicine fellowship at the Andrews Institute for Orthopaedics & Sports Medicine in Gulf Breeze, Florida. There he further honed his surgical skill and knowledge studying with well-known orthopedic surgeon, Dr. James Andrews while treating professional and community athletes. 

During his training, Dr. Brotherton has treated athletes on the Pensacola Blue Wahoos minor league baseball team, on colleges and university teams such as Auburn University, Tuskegee University, and the University of West Florida, and also on many local high school teams. 

He believes in forward thinking and applies his training and skills gained during his time in the military and fellowship training to help his patients of all ages and at all levels of competition at Orthopedic Specialists.

Andrew Boltuch, DO is a board-certified orthopedic surgeon with fellowship training in shoulder and elbow surgery. He received his medical degree from NOVA Southeastern College of Osteopathic Medicine and completed his Orthopedic Residency training at Largo Medical Center .Dr. Boltuch then completed his shoulder and elbow fellowship at the Holy Cross Orthopaedic Institute under the guidance of Jonathan Levy, MD. After his fellowship, he was accepted to the Alps Surgery Institute in Annecy, France, for an Advanced Arthroscopic Shoulder and Upper Extremity Fellowship with world-renowned surgeons Laurent and Thibault Lafosse, MD.

Dr. Boltuch specializes in primary and complex surgeries of the upper extremity. This involves arthroscopic, open, and advanced reconstruction techniques to treat a wide range of pathology associated with the upper limb.He also employs the use of cutting-edge preoperative planning software to customize total and reverse shoulder replacements unique to each patient’s particular needs.Common conditions Dr. Boltuch treats include rotator cuff tears, osteoarthritis, tendonitis, shoulder instability, labrum tears, tendon ruptures, upper extremity fractures, trigger finger, and carpal tunnel syndrome.

He is also highly involved in research,using his broad academic background to author multiple publications in peer-reviewed journals on the subjects of shoulder and hand surgery.He has presented this research at both national and international meetings and has received recognition for his work. Dr. Boltuch enjoys teaching and is an Associate Professor for the Orthopedic residency program at Largo Medical Center. His involvement in education and academics is reflected by his evidence-based approach to treating orthopedic pathologies.

He is a member of the American Osteopathic Academy of Orthopedics (AOAO), American Academy of Orthopaedic Surgeons (AAOS), American Osteopathic Association (AOA), American Association of Ringside Physicians (AARP), and is a candidate member of the American Shoulder and Elbow Surgeons (ASES) and the Orthopaedic Trauma Association (OTA).Dr. Boltuch is on staff at Mease Countryside, Mease Dunedin, Morton Plant, Saint Anthony’s, Largo Medical Center, and Advent North Pinellas.

Dr. Taylor was born in New England, but his family relocated to the Florida panhandle near the end of his childhood.  He later attended the University of South Alabama in Mobile, Alabama, after being awarded a highly competitive scholarship granting early acceptance into medical school. He graduated cum laude and stayed at the University of South Alabama to complete his residency in orthopedic surgery. In furthering his education, he completed a one-year residency in complex foot and ankle surgery at the Campbell Clinic in Memphis, Tennessee. 

Dr. Taylor learned new techniques and also shared his training with others by giving lectures and writing research papers, book chapters, and medical articles focusing on lower extremity care and treatment. 

During residency, he studied general orthopedics focusing on general trauma including fractures of the hips, knees, ankles, shoulders, elbows, and wrists. He also studied arthroscopic surgery, sports medicine, and how to care for common orthopedic problems in the spine, pelvis, and upper and lower extremities.  

While at Campbell Clinic, Dr. Taylor honed his skills further in sports medicine, joint replacement, deformity correction, and ligament reconstruction for lower extremities. He also trained in arthroscopic surgery, cartilage regenerative procedures, minimally invasive surgery, and fracture care. 

With his knowledge in both surgical and nonsurgical treatments, Dr. Taylor provides patients with many alternatives to returning to their normal lives. 

Dr. Taylor joined Orthopedic Specialists in Palm Harbor in 2017 to continue delivering outstanding orthopedic care to all patients. He enjoys spending time with his family, playing the guitar, and outdoor water sports and recreation.

Christopher “Chris” James, MD, is a board-certified orthopedic surgeon at Orthopedic Specialists. He is proud to serve patients throughout Palm Harbor, Florida. 

A Tampa native, Dr. James is a graduate of Jesuit High School. He received his undergraduate degree from Purdue University, where he played for the football team as a wide receiver. He went on to complete medical school at Saint George’s University in Grenada, West Indies, and in select New York City area hospitals.

Dr. James completed orthopedic surgery residency training at the University of Missouri - Columbia, followed by a fellowship in hip and knee replacement in Chicago’s Northshore University Health System. He is certified by the American Board of Orthopaedic Surgery.

Dr. James has had extensive training in all aspects of both operative and nonoperative orthopedics. His primary interest is adult hip and knee reconstructive surgery that entails both primary and revision procedures. At Orthopedic Specialists, Dr. James performs a variety of procedures, including hip and knee replacements, knee arthroscopy, periprosthetic fracture surgery, and knee and joint injections, to name a few. 

He has been trained in the most advanced joint replacement surgery, including computer- and robotic-assisted techniques that allow for enhanced recovery and improved function. Dr. James uses minimally invasive approaches for his knee replacements and both muscle-sparing direct anterior as well as a mini posterior hip approach.

In his spare time, Dr. James enjoys trying to impress his friends and family with his culinary skills. As a former Purdue football wide receiver, he enjoys cheering for all Boilermakers sports. He also is a fan of the Tampa Bay Buccaneers and Tampa Bay Lightning.

Jeffrey A. Silverstein, MD, is a board-certified orthopedic surgeon and hip and knee reconstruction specialist at 360 Orthopedics in Sarasota, Venice, and Lakewood Ranch, Florida. He specializes in general orthopedics and joint replacement. 

Dr. Silverstein earned his Bachelor of Science in biology at Indiana University. He then attended medical school at West Virginia University School of Medicine. He completed his orthopedic residency at the University of Illinois/Chicago Medical Center, followed by a hip and knee reconstruction fellowship at Florida Orthopedic Institute. 

As an advocate for improving the quality of life for his patients, Dr. Silverstein believes that open communication between physicians and patients is key to successful outcomes. He is trained in the latest techniques for orthopedic care of hip and knee replacements, including direct anterior hip replacements and traumatic fractures. His patients are offered both surgical and non-surgical options. When surgery is necessary, Dr. Silverstein may perform less invasive techniques including muscle-sparing incisions, partial knee replacements, robotic-assisted technology, and custom patient-specific implants.

Dr. Silverstein hails from West Virginia, now living in Florida with his wife and two children. He enjoys staying active with cross-training, cycling, tennis, skiing, golf, and international travel.