KYLE JUSTIN DUBOSE (NPI# 1285093104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285093104 |
Entity Type | Individual |
Full Name | KYLE JUSTIN DUBOSE |
Credential | D.O. |
Practice Address |
10400 75th St Kenosha WI 53142-7884 |
Mailing Address |
2901 W Kinnickinnic River Pkwy Ste 309 Milwaukee WI 53215-3660 |
Practice Telephone | (262) 942-5600 |
Practice Fax Number | 2629487388 |
Mailing Telephone | 4146491292 |
Enumeration Date | 2016-02-20 |
Last Update Date | 2019-09-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
67393 | WI | Allopathic & Osteopathic Physicians |
Street Address |
10400 75TH ST |
City | KENOSHA |
State | WI |
Zip Code | 53142-7884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477546737 | Mea-aea Kenosha Sc | Family Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2005-08-23 |
1548877707 | Megan Labine | Dietitian, Registered | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-30 |
1730796574 | Saralyn Paredes | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-25 |
1518586965 | Ariel Adelsen | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2020-04-15 |
1134757073 | Amber Jirschele | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-8323 | 2020-03-27 |
1912539974 | Kristina A Roscizewski | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-02-07 |
1386274413 | Ethan Nathaniel Mcfaddin | Pharmacist | 10400 75th St, Kenosha, WI 53142-7884 | 2020-01-16 |
1972133031 | Patricia Grzyb | Physician Assistant | 10400 75th St, Kenosha, WI 53142-7884 | 2020-01-16 |
1144873654 | Lauren Cornejo | Occupational Therapist | 10400 75th St, Kenosha, WI 53142-8323 | 2019-07-23 |
1245710771 | Brenda Joyce Woodhull | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2018-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
Find all providers in zip 53142 |
Taxonomy Code | 2083P0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Undersea and Hyperbaric Medicine |
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003870395 | John P Simanonok | Preventive Medicine | 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660 | 2006-04-13 |
1992221840 | Healogics Specialty Physicians of Wisconsin, LLC | Preventive Medicine | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-08-22 |
1811356736 | Cory Ryan Dubose | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-02-20 |
1659696029 | Hyperbaric Associates Sc | Preventive Medicine | 333 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4120 | 2010-03-29 |
1316148273 | Lori L Mcallister | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2007-05-29 |
1821118506 | Matthew L White | Preventive Medicine | 2900 W Oklahoma Ave, Hyperbaric Medicine & Wound Care/slmc, Milwaukee, WI 53215-4330 | 2007-03-29 |
1194895920 | Laurie Beth Gesell | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-11-09 |
1376650788 | Roland P Moreno | Preventive Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-08-23 |
1639180961 | Matthew Thomas Clancy | Preventive Medicine | 333 Pine Ridge Blvd, Suite 317, Wausau, WI 54401-4102 | 2006-08-11 |
1487689451 | Gerald C Godfrey | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-07-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KYLE JUSTIN DUBOSE.
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.