DYNAMIC PAIN & WELLNESS PLLC (NPI# 1588288641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588288641 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PAIN & WELLNESS PLLC |
| Practice Address |
2800 Ross Clark Cir Ste 2 Dothan AL 36301-9917 |
| Mailing Address |
930 Mar Walt Dr Unit C Fort Walton Beach FL 32547-6706 |
| Practice Telephone | 2513089800 |
| Practice Fax Number | 8774135104 |
| Mailing Telephone | 8502266801 |
| Mailing Fax Number | 8774135104 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | JULIA CSEJKA (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8503985031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1386123560 | Dynamic Pain & Wellness Pllc | Pain Medicine | 4724 Airport Blvd, Mobile, AL 36608-3134 | 2018-08-09 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1871146555 | Dynamic Pain & Wellness Pllc | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-22 |
| 1861963290 | Dynamic Pain & Wellness Pllc | Clinic/Center | 210 S Main St, Crestview, FL 32536-3737 | 2018-12-11 |
| 1871064360 | Dynamic Pain & Wellness Pllc | Pain Medicine | 1851 Saint Mary Ave, Pensacola, FL 32501-1053 | 2018-12-10 |
| 1598251704 | Dynamic Pain & Wellness Pllc | Pain Medicine | 28490 2nd St, Daphne, AL 36526-7150 | 2018-07-11 |
| 1699262980 | Dynamic Pain & Wellness Pllc | Anesthesiology | 6044 Doctors Park, Milton, FL 32570-5072 | 2018-04-23 |
| 1194226225 | Dynamic Pain & Wellness Pllc | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-02-23 |
| 1689184178 | Dynamic Pain & Wellness Pllc | Pain Medicine | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2017-10-10 |
| Street Address |
2800 ROSS CLARK CIR STE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-9917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366629917 | Jeffery L Walding | Surgery | 2800 Ross Clark Cir Ste 2, Dothan, AL 36301-9917 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1528296118 | Joshua S. Meyer | Anesthesiology | 4300 W Main St Ste 405, Dothan, AL 36305 | 2009-06-23 |
| 1295745834 | Houston County Healthcare Authority | Anesthesiology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-08-08 |
| 1013997857 | Dothan Anesthesiology Associates PC | Anesthesiology | 4370 W Main St, Anesthesia Dept, Dothan, AL 36305-1056 | 2006-01-18 |
| 1902885874 | Anesthesia Consultants Medical Group PC | Anesthesiology | 1118 Ross Clark Cir, Suite 700, Dothan, AL 36301-3030 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507013 | Cullman Regional Painservices LLC | Anesthesiology | 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2019-03-13 |
| 1992223838 | Pain Specialists Practice Management, Inc. | Anesthesiology | 300 Medical Center Dr Ste 503, Gadsden, AL 35903-1157 | 2017-08-30 |
| 1508253550 | Ballard Pain & Wellness Inc | Anesthesiology | 7067 Veterans Pkwy Ste 210, Pell City, AL 35125-5128 | 2015-04-16 |
| 1558506881 | Medical Pain Management,pc | Anesthesiology | 701 Leighton Avenue, Anniston, AL 35207-5745 | 2008-12-16 |
| 1134332539 | William Ricardo Montiel | Anesthesiology | 554 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2007-05-08 |
| 1902987431 | Ahmad Shikhtholth | Anesthesiology | 2208 Danville Rd Sw, Suite G, Decatur, AL 35601-4603 | 2006-10-18 |
| 1225041718 | Eric Robinson | Anesthesiology | 829 North Dean Rd., Suite 100, Auburn, AL 36830 | 2006-08-14 |
| 1841240926 | James E Flowers Md PC | Anesthesiology | 400 North Edwards St, Anesthesia Dept, Enterprise, AL 36330 | 2006-05-11 |
| 1073590170 | Hugh Gilbert Maddox Jr. | Anesthesiology | 1309 Quintard Ave, Anniston, AL 36201-4619 | 2005-12-29 |
| 1073599023 | Unal Tutak | Anesthesiology | 513 Brookwood Blvd, Suite 101, Birmingham, AL 35209-6862 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
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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.