DONALD DYRONE CHIPMAN JR. (NPI# 1740287564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740287564 |
Entity Type | Individual |
Full Name | DONALD DYRONE CHIPMAN JR. |
Credential | MD |
Practice Address |
1034 Mar Walt Dr Suite 100 Fort Walton Beach FL 32547-6639 |
Practice Telephone | 8508622153 |
Practice Fax Number | 8504744123 |
Mailing Telephone | 8508632153 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2016-09-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME93636 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 11456626 | 01 | |
FL | LICENSE | ME93636 | 01 |
FL | APPLYING | 05 | |
DEA | BC8947484 | 01 |
Street Address |
1034 MAR WALT DR SUITE 100 |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 32547-6639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235133646 | Jason W Thackeray | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6645 | 2005-06-13 |
1013535954 | Ruben Jonathan Ruiz | Physical Therapist | 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 | 2020-07-07 |
1770969875 | Mark Graeber | Podiatrist | 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 | 2015-07-31 |
1639514706 | Benjamin Gavin Merckle | Specialist/Technologist, Other | 1034 Mar Walt Dr, Fort Walton Beach, FL 32547-6639 | 2013-05-02 |
1467701862 | James F. Watt Do Pa | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2012-08-31 |
1396072765 | The Spine Institute At Orthopaedic Associates Pl | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 310, Fort Walton Beach, FL 32547-6645 | 2009-11-05 |
1467687350 | Thomas Arthur Fusco | Podiatrist | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-05-20 |
1144462110 | Michael L Shawbitz M D P A | Psychiatry & Neurology | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-04-06 |
1518108588 | Dale Thomas Landry Jr. | Orthopaedic Surgery | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-03-20 |
1770745960 | Robert Francis Hofmann | Ophthalmology | 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | 2008-06-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
Find all providers in zip 32547 |
Taxonomy Code | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477022028 | Genesis Health and Wellness, LLC | Pain Medicine | 348 Miracle Strip Pkwy Sw Ste 16a, Fort Walton Beach, FL 32548-5258 | 2018-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306452115 | Premier Pain and Wellness LLC | Pain Medicine | 12555 Sw 46th St, Miami, FL 33175-4725 | 2020-09-17 |
1861043929 | Spine Center of Fl LLC | Pain Medicine | 9400 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4520 | 2019-09-20 |
1356998975 | Haitao Zhang Md, P.a. | Pain Medicine | 3688 Burnt Pine Dr, Jacksonville, FL 32224-0870 | 2019-08-19 |
1013487362 | Florida Institute of Pain Medicine LLC | Pain Medicine | 2386 Dunn Ave Ste 111, Jacksonville, FL 32218-4751 | 2018-11-29 |
1619442209 | Family Spine and Pain Care Institute LLC | Pain Medicine | 1525 Tamiami Trl S Ste 601, Venice, FL 34285-3568 | 2018-10-10 |
1215429717 | Pain Treatment Specialists | Pain Medicine | 2601 E Oakland Park Blvd Ste 200, Fort Lauderdale, FL 33306 | 2018-05-31 |
1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
1568977973 | Prc Associates, LLC | Pain Medicine | 1545 Hand Ave Ste Az, Ormond Beach, FL 32174-1139 | 2017-12-07 |
1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
1003341280 | Yvonne Derickson | Pain Medicine | 105 Whitehall Dr Ste 115-116, St Augustine, FL 32086-5269 | 2017-04-26 |
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City | FORT WALTON BEACH |
Zip Code | 32547 |
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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.