Active NPI
Christopher Michael Middendorf, D.O.
- Pain Medicine (Anesthesiology) Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- OS12841
- Practice address
- 1549 Airport Blvd
Suite 430
Pensacola, FL 32504-8633 - Phone
- (850) 416-2686
- Fax
- (850) 416-2684
- NPI assigned
- Mar 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS12841 | FL | Primary |
Addresses
Primary practice location
1549 Airport Blvd
Suite 430
Pensacola, FL 32504-8633
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-2686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Nova Southeastern College of Osteo Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1924 K Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (251) 308-9800
930 Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone (850) 226-6801
Hospital & facility affiliations
- Baptist Hospital
- North Okaloosa Medical Center
- HCA Florida West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12841 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Pain & Wellness LLC | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Dynamic Pain & Wellness LLC | Pain Medicine | Current | Accepting new patients |
| Dynamic Chiro & PT LLC | Past | Accepting new patients |
Locations
2826 Ross Clark Cir
Ste 103
Dothan, AL 36301
Phone (251) 308-9800
1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800
210 S Main St
Crestview, FL 32536
Phone (850) 306-3433
930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183
930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930
6044 Doctors Park
Milton, FL 32570
Phone (786) 655-0529
5111 N 12th Ave
Unit B
Pensacola, FL 32504
5111 N 12th Ave
Pensacola, FL 32504
Phone (850) 291-7641
Interoperability endpoints
- christopher.middendorf@2498.securemail.prognocis.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Pain Medicine (Anesthesiology) Physician
- Dothan, AL
- NPI 1588288641
-
- Chiropractor
- Pensacola, FL
- NPI 1144098724
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1154593259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-2686",
"fax_number": "850-416-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 AIRPORT BLVD",
"address_2": "SUITE 430",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048633",
"telephone_number": "850-416-2686",
"fax_number": "850-416-2684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDENDORF",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "OS12841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.