Matthew T Mcewan (NPI# 1699114025, PAC ID# 2961752068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1699114025 |
| PAC ID by PECOS | 2961752068 |
| Professional Enrollment ID | I20190402002621 |
| Full Name | Matthew T Mcewan |
| Organization Legal Name | DYNAMIC PAIN AND WELLNESS PLLC |
| Address |
210 S Main St Crestview FL 32536-3737 |
| Phone Number | 8502266801 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2013 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 8527364058 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 S Main St, Crestview, FL 32536-3737 | 8502266801 | DYNAMIC PAIN AND WELLNESS PLLC |
| 28490 2nd St, Daphne, AL 36526-7150 | 8502266801 | DYNAMIC PAIN AND WELLNESS PLLC |
| 930 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 8502266801 | DYNAMIC PAIN AND WELLNESS PLLC |
| 6044 Doctors Park, Milton, FL 32570-5072 | 8502266801 | DYNAMIC PAIN AND WELLNESS PLLC |
| 6072 Doctors Park, Milton, FL 32570-5072 | 8502266801 | DYNAMIC PAIN AND WELLNESS PLLC |
| 1924 K Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2513089800 | DYNAMIC PAIN AND WELLNESS PLLC |
| 4724 Airport Blvd, Mobile, AL 36608-3134 | 8502266801 | DYNAMIC PAIN AND WELLNESS PLLC |
| Organization Legal Name | DYNAMIC PAIN AND WELLNESS PLLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill V Ash | Physician Assistant | Dynamic Pain and Wellness Pllc | 210 S Main St, Crestview, FL 32536-3737 |
| Danita R Lafontant | Nurse Practitioner | Dynamic Pain and Wellness Pllc | 1851 Saint Mary Ave, Pensacola, FL 32501-1053 |
| Celeste A Macdonald | Nurse Practitioner | Dynamic Pain and Wellness Pllc | 930 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
| Tiffany C Robinson | Nurse Practitioner | Dynamic Pain and Wellness Pllc | 28490 2nd St, Daphne, AL 36526-7150 |
| David P Johnson | Pain Management | Dynamic Pain and Wellness Pllc | 1851 Saint Mary Ave, Pensacola, FL 32501-1053 |
| Christopher M Middendorf | Anesthesiology | Dynamic Pain and Wellness Pllc | 930 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
| Jason T Crays | Physician Assistant | Dynamic Pain and Wellness Pllc | 930 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
| Stefan Gilthorpe | Pain Management | Dynamic Pain and Wellness Pllc | 210 S Main St, Crestview, FL 32536-3737 |
| Michaelyn A Parker | Nurse Practitioner | Dynamic Pain and Wellness Pllc | 4724 Airport Blvd, Mobile, AL 36608-3134 |
| Jon C Cox | Physician Assistant | Dynamic Pain and Wellness Pllc | 930 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
| Street Address |
210 S MAIN ST |
| City | CRESTVIEW |
| State | FL |
| Zip | 32536-3737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill V Ash | Physician Assistant | Dynamic Pain and Wellness Pllc | 210 S Main St, Crestview, FL 32536-3737 |
| Brittany A Sowders | Nurse Practitioner | A Plus Family Healthcare LLC | 210 S Main St, Suite 101, Brownsville, KY 42210-9001 |
| Stefan Gilthorpe | Pain Management | Dynamic Pain and Wellness Pllc | 210 S Main St, Crestview, FL 32536-3737 |
| Robert L Whorton | Physical Therapy | Dynamic Pain and Wellness Pllc | 210 S Main St, Crestview, FL 32536-3737 |
| Jerry Paul Hatley | Chiropractic | 210 S Main St, Suite 1, Duncanville, TX 75116-4763 | |
| Tanya Jenkins | Nurse Practitioner | Dynamic Pain and Wellness Pllc | 210 S Main St, Crestview, FL 32536-3737 |
| Deborah E Waterman | Podiatry | Comprehensive Family Foot Center LLC | 210 S Main St, Middletown, CT 06457-3764 |
| Wayne Potter | Chiropractic | 210 S Main St, Shelbyville, TN 37037-3906 | |
| Kimberly A. Vertrees | Nurse Practitioner | A Plus Family Healthcare LLC | 210 S Main St, Suite 101, Brownsville, KY 42210-9001 |
| Jaclyn A Burleson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Health Consultants | 210 S Main St, Crestview, FL 32536-3737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mercedes Elaine Luke | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Pamela Kay Steele | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Katherine Lilley | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Ruth Jenkins | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Megan Dillon | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Randall Sheffield | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Janet Lee Jones | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Karrie Parker Thompson | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| David Christopher Harvitz | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Christopher Lee Edmonsond | Physical Therapy | Womens Manual Physical Therapy LLC | 728 N Ferdon Blvd, Suite 3, Crestview, FL 32536-2166 |
| Find all physicians in zip 32536 | |||
| City | CRESTVIEW |
| Zip Code | 32536 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | CRESTVIEW + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Matthew T Mcewan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.