DYNAMIC PAIN & WELLNESS PLLC


Address: 4457 Bayou Blvd, Pensacola, FL 32503-2601
Phone: 8502266801

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 4457 BAYOU BLVD
City PENSACOLA
State FL
Zip Code 32503-2601

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PENSACOLA
Zip Code 32503

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Dataset Information

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.

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