Provider Demographics
NPI:1518107242
Name:AARON B STEIN MD PLLC
Entity type:Organization
Organization Name:AARON B STEIN MD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHIPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-475-2668
Mailing Address - Street 1:175 MAIN STREET
Mailing Address - Street 2:UNIT 235
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-9998
Mailing Address - Country:US
Mailing Address - Phone:850-475-2668
Mailing Address - Fax:850-475-2669
Practice Address - Street 1:150 E REDSTONE AVE STE A
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-5322
Practice Address - Country:US
Practice Address - Phone:850-689-8004
Practice Address - Fax:850-475-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLXIXALOtherFLORIDA BLUE
FL123894500Medicaid
FL370078001Medicaid