DYNAMIC PAIN & WELLNESS PLLC (NPI# 1679197735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679197735 |
Entity Type | Organization |
Organization Name | DYNAMIC PAIN & WELLNESS PLLC |
Practice Address |
325 John Knox Rd Bldg 200 Tallahassee FL 32303-4114 |
Mailing Address |
930 Mar Walt Dr Unit C Fort Walton Beach FL 32547-6706 |
Practice Telephone | 8502266801 |
Practice Fax Number | 8774135104 |
Mailing Telephone | 8502266801 |
Mailing Fax Number | 8774135104 |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |
Authorized Official Name | JULIA CSEJKA (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 8503985031 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1194226225 | Dynamic Pain & Wellness Pllc | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-02-23 |
1689184178 | Dynamic Pain & Wellness Pllc | Pain Medicine | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2017-10-10 |
Street Address |
325 JOHN KNOX RD BLDG 200 |
City | TALLAHASSEE |
State | FL |
Zip Code | 32303-4114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
Find all providers in zip 32303 |
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 |
---|---|---|---|---|
1881630523 | Joseph P Pagano | Anesthesiology | 2727 Capital Medical Blvd., Chronic Pain Management, Tallahassee, FL 32308 | 2006-06-21 |
1538143409 | Joshua Evan Fuhrmeister | Anesthesiology | 2824 Mahan Dr Ste 1, Tallahassee, FL 32308-5429 | 2005-12-02 |
1134530926 | David P. Johnson | Anesthesiology | 1401 Oven Park Dr, Tallahassee, FL 32308-7959 | 2014-05-14 |
1073660841 | Christopher Wade Babl | Anesthesiology | 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308 | 2007-01-04 |
1346212669 | Capital City Anesthesia LLC | Anesthesiology | 2010 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2006-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
1851866990 | Spine Pain Clinic of Florida LLC | Anesthesiology | 1040 37th Pl Ste 102, Vero Beach, FL 32960-4808 | 2018-10-04 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32303 |
Please comment or provide details below to improve the information on DYNAMIC PAIN & WELLNESS PLLC.
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.