MATHEW MCCUNE (NPI# 1457493611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457493611 |
| Entity Type | Individual |
| Full Name | MATHEW MCCUNE |
| Credential | M.D. |
| Practice Address |
930 Mar Walt Drive C Fort Walton Beach FL 32547-6708 |
| Practice Telephone | 8502266801 |
| Practice Fax Number | 8503578400 |
| Mailing Telephone | 8502266801 |
| Mailing Fax Number | 8503578400 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME105881 | FL | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD37392 | AL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME105881 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4724 Airport Blvd, Mobile, AL 366083134 | 2513089800 | 8774135104 |
| Street Address |
930 MAR WALT DRIVE C |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953743 | John Loftis | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547-6706 | 2020-02-11 |
| 1306301528 | Jon Calvin Cox | Pain Medicine | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2019-02-01 |
| 1700398070 | Dynamic Pain and Wellness Physical Therapy, LLC | Physical Therapist | 930 Mar Walt Drive, Fort Walton Beach, FL 32547-6706 | 2017-10-26 |
| 1841693504 | Rachel Marie Samuelson | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2014-10-08 |
| 1770910531 | Brandon Porter | Hearing Instrument Specialist | 930 Mar Walt Drive, Suite A, Fort Walton Beach, FL 32547 | 2013-10-10 |
| 1013284173 | Celeste Ann Macdonald | Nurse Practitioner | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547-6706 | 2011-11-17 |
| 1366771313 | Amber Maurine Ramsey | Nurse Practitioner | 930 Mar Walt Drive, Fort Walton Beach, FL 32547 | 2009-12-21 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1497788251 | Francis C F Decroos Md Pa | Anesthesiology | 928 E Mar Walt Drive, Suite 201, Fort Walton Beach, FL 32547-6601 | 2006-07-07 |
| 1013423896 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2017-12-16 |
| 1518197235 | Kim-phuong V. Tran | Anesthesiology | 1000 Mar-walt Drive, Fort Walton Beach, FL 32547 | 2009-07-15 |
| 1285872424 | Anesthesia Management, Inc | Anesthesiology | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2009-01-27 |
| 1114102084 | Hamed David Rahmanie | Anesthesiology | 1000 Mar Walt Dr, Fort Walton Beach Medical Center Dept of Anesthesiology, Fort Walton Beach, FL 32547-6708 | 2008-01-09 |
| 1609969732 | Irvin Randolph Manning | Anesthesiology | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2006-10-02 |
| 1316042781 | Paul Bruha | Anesthesiology | 995 Mar Walt Dr, Fort Walton Beach, FL 32547-6758 | 2006-09-13 |
| 1760591267 | Harvey Plosker | Anesthesiology | 995 Mar Walt Dr, Fort Walton Beach, FL 32547-6758 | 2006-08-29 |
| 1417995713 | Thomas Joseph Lasalle | Anesthesiology | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2006-06-02 |
| 1235184045 | Albert E Zant Jr. | Anesthesiology | 913 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 | 2006-05-23 |
| Find all providers in FORT WALTON BEACH | ||||
| 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.