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.Read More
1865 Lime Street, Suite 101 Fernandina Beach, FL 32034 Phone: 904-321-2422Read More
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.Read More
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.Read More
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.Read More
Robert Fox brings 33 years experience as a physician assistant to Coastal Spine and Pain Center. He has an extensive background in internal medicine, cardiology, critical care and cardiovascular and thoracic surgery. He received a Bachelor of Science in Medicine from the University of Florida and a Bachelor of Science in Biology from Mercer University. He has delivered perioperative and postoperative patient care, including chest tube placements, incision closures, evaluations on consults and daily rounds. Prior to joining Coastal Spine, Fox worked at Cardiothoracic and Vascular Surgical Associates, PA, the Mayo Clinic, Stuart Ocala and Citrus Ocala Heart Institutes, Florida Thoracic and Cardiovascular Associates and Jacksonville Cardiovascular Clinic.Read More
Christine (Chris) Turner, ARNP is a licensed nurse practitioner with certifications in adult care, wound care and ostomy nursing. Turner has more than 20-years combined experience serving surgical intensive care and anesthesia care units, internal medicine and advanced practice. She earned her Master of Science in Nursing from Ball State University, Indiana and her Bachelor of Science in Nursing at the University of Indianapolis, Indiana.
Before joining Coastal Spine and Pain Center, Turner was a nurse practitioner at Amelia Internal Medicine providing care to adults with diabetes, hypertension, peripheral vascular disease obesity and hyperlipidemia. She was also a staff nurse at St. Vincent’s Heart & Vascular Center for pre- and post-procedure care.
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.Read More