DYNAMIC PAIN & WELLNESS PLLC (NPI# 1699262980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699262980 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PAIN & WELLNESS PLLC |
| Practice Address |
6044 Doctors Park Milton FL 32570-5072 |
| Mailing Address |
600 Hospital Dr Crestview FL 32539-7356 |
| Practice Telephone | 8502262607 |
| Practice Fax Number | 8774135104 |
| Mailing Telephone | 8503312930 |
| Mailing Fax Number | 8774135104 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-10-24 |
| 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 |
| 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 |
6044 DOCTORS PARK |
| City | MILTON |
| State | FL |
| Zip Code | 32570-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447508452 | Jennifer Ann Stewart | Counselor | 6044 Doctors Park, Milton, FL 32570-5072 | 2012-08-22 |
| 1407270242 | Ryan Vaughn | Nurse Practitioner | 6044 Doctors Park, Milton, FL 32570 | 2014-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| 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 |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.