DYNAMIC PAIN & WELLNESS PLLC (NPI# 1194226225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194226225 |
Entity Type | Organization |
Organization Name | DYNAMIC PAIN & WELLNESS PLLC |
Practice Address |
4457 Bayou Blvd Pensacola FL 32503-2601 |
Mailing Address |
930 Mar Walt Drive Unit C Fort Walton Beach FL 32547 |
Practice Telephone | 8502266801 |
Mailing Telephone | 8502266801 |
Enumeration Date | 2018-02-23 |
Last Update Date | 2018-02-23 |
Authorized Official Name | SARAH BAILEY (CREDENTIALING) |
Authorized Official Telephone | 8503312930 |
Is Organization Subpart | Y |
Parent Organization Name | DYNAMIC PAIN & WELLNESS PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
1386123560 | Dynamic Pain & Wellness Pllc | Pain Medicine | 4724 Airport Blvd, Mobile, AL 36608-3134 | 2018-08-09 |
1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
1588288641 | Dynamic Pain & Wellness Pllc | Anesthesiology | 2800 Ross Clark Cir Ste 2, Dothan, AL 36301-9917 | 2020-06-04 |
1871146555 | Dynamic Pain & Wellness Pllc | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-22 |
1861963290 | Dynamic Pain & Wellness Pllc | Clinic/Center | 210 S Main St, Crestview, FL 32536-3737 | 2018-12-11 |
1871064360 | Dynamic Pain & Wellness Pllc | Pain Medicine | 1851 Saint Mary Ave, Pensacola, FL 32501-1053 | 2018-12-10 |
1598251704 | Dynamic Pain & Wellness Pllc | Pain Medicine | 28490 2nd St, Daphne, AL 36526-7150 | 2018-07-11 |
1699262980 | Dynamic Pain & Wellness Pllc | Anesthesiology | 6044 Doctors Park, Milton, FL 32570-5072 | 2018-04-23 |
1689184178 | Dynamic Pain & Wellness Pllc | Pain Medicine | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2017-10-10 |
Street Address |
4457 BAYOU BLVD |
City | PENSACOLA |
State | FL |
Zip Code | 32503-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104845791 | Joseph Webber | Nurse Practitioner | 4457 Bayou Blvd, Pensacola, FL 32503 | 2006-07-18 |
1255807418 | Michaelyn Parker | Nurse Practitioner | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-10-15 |
1013491794 | Danita Reanna Lafontant | Nurse Practitioner | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-09-19 |
1720566482 | Mandy Michelle Ilnyckyj | Nurse Practitioner | 4457 Bayou Blvd, Pensacola, FL 32503 | 2018-08-03 |
1639541204 | Anna-cherie D Levert | Physician Assistant | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2015-10-22 |
1437539723 | Nathan Hoaglund | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2015-06-02 |
1629338348 | Justin William Byrne Tokorcheck | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2012-05-29 |
1699069914 | Jose Murillo | Family Medicine | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2011-06-03 |
1609034594 | Ryan F Durkin | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2008-05-28 |
1366611899 | Freida Nadir Alaniz | Physician Assistant | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2008-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
Find all providers in zip 32503 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
1144431321 | Jason Capra | Anesthesiology | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2007-05-27 |
1841239084 | Kurt A Krueger | Anesthesiology | 5028 N Davis Hwy, Pensacola, FL 32503-2345 | 2006-06-05 |
1326039538 | Gerald William Grass | Anesthesiology | 4300 Bayou Blvd, Suite 17b, Pensacola, FL 32503-1949 | 2005-11-04 |
1679560536 | Rodger Kenneth Garrett | Anesthesiology | 4724 N. Davis Hwy, Pensacola, FL 32503 | 2005-10-05 |
1629338348 | Justin William Byrne Tokorcheck | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2012-05-29 |
1124330964 | Varun Kumar Rimmalapudi | Anesthesiology | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2010-07-09 |
1265679484 | Complete Pain Management, Pl | Anesthesiology | 4220 N Davis Hwy, Ste A100, Pensacola, FL 32503-2721 | 2009-01-09 |
1154593259 | Christopher Michael Middendorf | Anesthesiology | 1549 Airport Blvd, Suite 430, Pensacola, FL 32504-8633 | 2008-03-28 |
1891831871 | Mark Edwin Larkins | Anesthesiology | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2007-01-29 |
Find all providers in PENSACOLA |
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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.