MR. SHANE THOMAS STOCKELMAN (NPI# 1932731684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932731684 |
Entity Type | Individual |
Full Name | MR. SHANE THOMAS STOCKELMAN |
Credential | ATC, LAT |
Practice Address |
3334 Capital Medical Blvd Tallahassee FL 32308-8405 |
Mailing Address |
1420 N Meridian Rd Apt 128 Tallahassee FL 32303-5658 |
Practice Telephone | 8508778174 |
Mailing Telephone | 9546500333 |
Enumeration Date | 2020-02-11 |
Last Update Date | 2020-02-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
5752 | FL | Allopathic & Osteopathic Physicians |
Street Address |
3334 CAPITAL MEDICAL BLVD |
City | TALLAHASSEE |
State | FL |
Zip Code | 32308-8405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
1750913794 | Stephen C Mchargue | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-07 |
1639642572 | Ross Scavo | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2019-01-03 |
1659887891 | Jennifer Baxter | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308 | 2017-12-26 |
1730503798 | Keshia Arrington | Specialist/Technologist | 3334 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8405 | 2014-02-11 |
1447682687 | Eric D Bernstein | Physical Therapy Assistant | 3334 Capital Medical Blvd, 300, Tallahassee, FL 32308-8405 | 2013-07-30 |
1356681050 | Megan C Milton | Nurse Practitioner | 3334 Capital Medical Blvd, Ste 400, Tallahassee, FL 32308-8405 | 2013-02-18 |
1235413949 | Jared Ryan Johnson | Physician Assistant | 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 | 2011-09-30 |
1821379124 | Lauren K Snider | Physical Therapist | 3334 Capital Medical Blvd, Suite 300, Tallahassee, FL 32308-8405 | 2011-08-31 |
1982903993 | Jerome Edward Harms | Registered Nurse | 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 | 2011-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
Find all providers in zip 32308 |
Taxonomy Code | 207RS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sports Medicine |
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033718 | Greenacres Health & Rehab LLC | Internal Medicine | 4010 S 57th Ave Ste 101, Greenacres, FL 33463-4301 | 2020-08-16 |
1205218070 | Atlas Medical and Orthopedics | Internal Medicine | 6864 Forest Hill Blvd, Suite B, Greenacres, FL 33413-3339 | 2015-06-29 |
1477854370 | Medfit, LLC | Internal Medicine | 9510 Corkscrew Palms Cir Ste 1, Estero, FL 33928-3308 | 2010-11-08 |
1447338587 | Kenneth P Barnes | Internal Medicine | The University of Miami Sports Medicine Institute, 5555 Ponce De Leon Blvd., 3rd Floor, Coral Gables, FL 33146 | 2006-11-02 |
1760429989 | Chris Kunis | Internal Medicine | 2102 Sw 20th Pl Bldg 100, Ocala, FL 34471-0856 | 2006-05-31 |
1700434537 | Tri-county Regenerative Medicine, LLC | Internal Medicine | 1848 N Nob Hill Rd, Plantation, FL 33322-6548 | 2019-08-26 |
1730575044 | Reza Alavi | Internal Medicine | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 | 2015-04-13 |
1780076695 | Boca Sports Therapy Inc | Internal Medicine | 851 Meadows Rd, Ste 212, Boca Raton, FL 33486-2348 | 2015-03-02 |
1962799213 | Pga Chiropractic Health Center Pa | Internal Medicine | 10800 N Military Trl, Ste # 111, Palm Beach Gardens, FL 33410-6500 | 2011-07-07 |
1518257666 | Jason Perry | Internal Medicine | 3313 W Hillsboro Blvd, Deerfield Beach, FL 33442-9423 | 2011-04-11 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32308 |
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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.