With access to state-of-the-art equipment, our highly qualified and compassionate physicians can assure you the best treatment possible. Starting with accurate diagnoses, our treatment plans are specifically geared to charting an optimal course of action with the ultimate aim to improve your quality of life. Treatment ranges from minimally invasive therapies to surgery and are always geared to what is best for the patient.
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For the latest news please browse our News page where we put updates about our providers and our practice. To hear the personal testimonials of some of our patients please go to the Patient Testimonials page where you can view the stories of patients who have battled pain and who have found new hope after diagnosis and treatment at Coastal Spine and Pain Center.
Dr. Miller is board certified in interventional pain management and physical medicine & rehabilitation. He earned his bachelor’s and doctorate degrees, in 2000 and 2004 respectively, in Biochemistry from the University of California at Davis. His residency training in Physical Medicine and Rehabilitation was at Jefferson Medical College of Thomas Jefferson University and his fellowship training was in Interventional Pain Management at the same institution. Dr. Miller has authored both peer-reviewed medical publications as well as published his own 2009 book, The 3 Minute Musculoskeletal & Peripheral Nerve Exam, for teaching physicians, residents and medical students.
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1865 Lime Street, Suite 101 Fernandina Beach, FL 32034 Phone: 904-321-2422
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Dr. Loch started his medical education at the Lake Erie College of Osteopathic Medicine. After graduating medical school, he completed a highly competitive residency in anesthesiology at the University of Florida in Gainesville. While there, he developed a passion for treating patients with complex spine, joint, and nerve pathology. Staying at the University of Florida, he was selected for an elite fellowship in interventional pain management to train with nationally recognized leaders in the field. Dr. Loch is board certified in both anesthesiology and interventional pain management by the American Board of Anesthesiology. He is very experienced in image guided interventional procedures, having personally performed over 10,000 spine, joint, and nerve injections. He is active at Baptist Hospital Nassau, being both a consulting physician and member of the credentialing committee.
Dr. Loch has also been involved with numerous professional societies including the American Society of Interventional Pain Physicians (ASIPP), North American Spine Society (NASS), American Society of Regional Anesthesia and Pain Medicine (ASRA), and has held leadership positions in the American Society of Anesthesiologists (ASA). He has presented at national meetings for several professional organizations including ASRA, the Florida Society and Anesthesiologists, and the Florida Osteopathic Medical Association.
Dr. Loch is also a stem cell and platelet rich plasma specialist having completed additional years of training with the Interventional Orthobiologics Foundation and is part of the highly selective Regenexx physician network who advances the cutting edge field of regenerative medicine.
Also active with research, Dr. Loch is an investigating physician for several FDA approved trials including a stem cell trial for low back pain and treatments for sciatic pain, migraines, and fibromyalgia. Dr. Loch provides medical consulting services for multiple national companies and independent review organizations.
In an effort to provide comprehensive care to patients, Dr. Loch is also a certified health coach and a certified medical exercise specialist by the American Council on Exercise.
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James Shields is a board certified Coastal Spine and Pain Center physician with more than 30 years clinical experience, including interventional pain management, pain medicine, anesthesiology and emergency medicine. Dr. Shields has leadership history in practice management, utilization management and quality improvement activities in the hospital and in a managed care setting.
Dr. Shields joined Coastal Spine and Pain Center from interventional pain management practices in Georgia, where he provided multiple treatments daily such as epidural steroid injections, selective nerve root injections and pain-relieving nerve blocks as part of comprehensive care.
Dr. Shields received his medical degree from the University of Mississippi Medical School, Jackson, Miss. and holds a Master’s in Business Administration for Physicians from the University of South Florida, Tampa. He is certified by the American Board of Pain Medicine, the American Board of Anesthesiology and the American Board of Managed Care Medicine. He is affiliated with the American and Georgia Societies of Interventional Pain Physicians, the American and Georgia Societies of Anesthesiology and the American Medical Association.
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Tyler Mattingly, D.O. is board certified in anesthesiology. He obtained his Doctor of Osteopathic Medicine degree and his Master of Science degree both from The Philadelphia College of Osteopathic Medicine (PCOM). He was inducted into the Sigma Sigma Phi honor society while at PCOM, due to his academic success. Prior to that, he completed his Bachelor of Science degree where he studied Medical Laboratory Science at Bellarmine University in Louisville, Kentucky graduating Cum Laude.
He completed his residency training in anesthesiology at the University of Massachusetts Medical School in Worcester. He then went on to pursue a highly competitive Interventional Pain Medicine Fellowship at the University of Maryland in Baltimore. During residency, he demonstrated exceptional knowledge, skills and courage while serving during the entirety of the Covid-19 pandemic.
Dr. Mattingly gained interest in the field of pain medicine after suffering a herniated disc from a high school football injury which required lumbar surgery at eighteen years old. He then had subsequent epidural steroid injections combined with physical therapy that allowed him to play four years of division one lacrosse in college. This is where Dr. Mattingly has acquired his multi-disciplinary team approach while integrating a focus on quality of life for his pain management treatment plans.
Dr. Mattingly is a member of the The American Board of Anesthesiology. He is certified in Basic Life Support and Advanced Cardiac Life Support. He maintains an active presence in the medical community and is committed to providing the highest quality care to his patients.
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Keith Rawlinson is a board certified physician assistant. He completed the physician assistant program at the University of Florida where he also earned a bachelor’s degree in Health Related Professions. Before coming to Coastal Spine and Pain Center, Rawlinson was at Jacksonville Spine Center. Prior to that, he worked for Ted Wingard, M.D. at Florida Cardiovascular and Thoracic Surgeons for 13 years.
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Christopher Menster, MPAS, PA-C, is a certified physician assistant with more than eleven years of clinical experience, holding memberships in the American Academy of Physician Assistants, Florida Academy of Physician Assistants and the American Academy of Neurological Surgeons. He earned his Master of Physician Studies from the University of Florida College of Medicine School of Physician Assistant Studies, Gainesville, Florida.
Before joining Coastal Spine and Pain Center, Menster was a physician assistant with the Neurosurgery Complex Spine Team and as an APP Clinical Lead at UFHealth in Jacksonville, Florida. There, he worked with their spine specialist diagnosing and exploring surgical and non-surgical options regarding congenital and degenerative spinal conditions, and in the management of scoliotic deformities, high grade spondylolisthesis, neuro-oncologic spinal conditions and minimally invasive options for treatment. Other skills include extensive operating room, procedural training and acute care management of traumatic neurologic injuries. Menster has organized and managed psychiatric clinical trials for MDD, BPD, anxiety, PTSD, autism spectrum disorders, tardive dyskinesia and fibromyalgia. He was awarded the University of Florida PA Program Clinical Student of the Year in 2017. Menster is a Nationally Certified Physician Assistant and licensed by the State of Florida.
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David Bryant is a performance-driven and patient-focused physician assistant. He graduated magna cum laude with a Bachelor of Science degree from Florida Atlantic University, Boca Raton, Florida and a Master of Medical Science from Nova Southeastern University, Ft. Lauderdale, Florida. Bryant is a member of both the American Academy of Physician Assistants and the Florida Academy of Physician Assistants. He has worked as the lead team physician assistant at the University of Florida and as a physician assistant at Southeast Orthopedic Specialists. Bryant is a peer mentor at the College of Health Care Sciences and a founding member of the Florida Atlantic Adapted Aquatics Aquatic Physical Therapy Program. He has experience in working with patients and helping to prevent, diagnose and treat acute and ongoing symptoms, interpreting advanced imaging, as well as assisting in procedures to help alleviate patient pain.
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