MR. SHANE THOMAS STOCKELMAN


Address: 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405
Phone: 8508778174

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0010X Internal Medicine
Specialization: Sports Medicine
5752 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 3334 CAPITAL MEDICAL BLVD
City TALLAHASSEE
State FL
Zip Code 32308-8405

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City TALLAHASSEE
Zip Code 32308

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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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