CARRIE DOROTHY BURG (NPI# 1376170589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376170589 |
| Entity Type | Individual |
| Full Name | CARRIE DOROTHY BURG |
| Other Name | CARRIE DOROTHY KLEMM |
| Credential | MS, LAT |
| Practice Address |
1550 Hobbs Dr Delavan WI 53115-2027 |
| Practice Telephone | 2627404370 |
| Practice Fax Number | 2627404379 |
| Mailing Telephone | 2627404370 |
| Mailing Fax Number | 2627404379 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
1641-39 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1550 HOBBS DR |
| City | DELAVAN |
| State | WI |
| Zip Code | 53115-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081419 | Sheri Lynne Pierce | Family Medicine | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2006-04-09 |
| 1942846811 | Nichole Gunyon | Nurse Practitioner | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2019-11-25 |
| 1922529239 | Kari Viola Marconnet | Registered Nurse | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2017-06-28 |
| 1457780934 | Lara Durham | Physical Therapy Assistant | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2013-11-05 |
| 1043647027 | Jennifer A Merker-horton | Nurse Practitioner | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2013-10-04 |
| 1558604843 | Jennifer A Junghen | Nurse Practitioner | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2013-04-04 |
| 1205150505 | Luke J Huffman | Marriage & Family Therapist | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2010-03-16 |
| 1811137102 | Alicia M Lanzito | Podiatrist | 1550 Hobbs Dr, Delavan, WI 53115 | 2009-02-25 |
| 1912066549 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2006-12-08 |
| 1952480022 | Roberta Ashby | Pediatrics | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049486 | Careatc - Andes Candies | Clinic/Center | 1400 E. Eisconsin, Delavan, WI 53115 | 2016-09-01 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1487930350 | Sheryl Jacobson | Pharmacist | 445 S Wright Street, Delavan, WI 53115 | 2011-10-24 |
| 1407152556 | Cannula Ear Cozy LLC | Durable Medical Equipment & Medical Supplies | N2444 Doris St., Delavan, WI 53115 | 2011-02-08 |
| 1710172630 | Timothy J Rasmussen LLC | Chiropractor | 1407 Racine St, Suite D, Delavan, WI 53115 | 2007-09-13 |
| 1407065873 | Debora Lee Nevermann | Physical Therapist | 824 B East Geneva Street, Delavan, WI 53115 | 2007-05-22 |
| 1740493006 | Karen St John | Physical Therapy Assistant | 905 East Geneva Street, Delavan, WI 53115 | 2007-05-07 |
| 1043430390 | Kristin M Grenier | Physical Therapy Assistant | 824 B East Geneva St, Delavan, WI 53115 | 2007-04-27 |
| 1891852034 | Maria Teresa Galgano Chadha | Dentist | 608 E Walworth Ave, Delavan, WI 53115 | 2007-01-03 |
| 1942396718 | Clifford Robert Poplar | Internal Medicine | 915 Geneva Street, Delavan, WI 53115 | 2006-10-05 |
| Find all providers in zip 53115 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112072 | Bridget Grimes | Physical Medicine & Rehabilitation | 8560 26th Ave, Kenosha, WI 53143-6447 | 2020-01-02 |
| 1205442373 | Kourtney Buelow | Physical Medicine & Rehabilitation | 1774 Riverside Dr, Suamico, WI 54173-8100 | 2020-09-23 |
| 1669094330 | Jane Edna Smetana | Physical Medicine & Rehabilitation | 2999 N Mayfair Rd Ste 300, Wauwatosa, WI 53222-4306 | 2020-05-15 |
| 1619598786 | Olivia Joi Carlton | Physical Medicine & Rehabilitation | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-04-30 |
| 1568933224 | William Aristides George Iv | Physical Medicine & Rehabilitation | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2018-12-06 |
| 1477021640 | Michael Houte | Physical Medicine & Rehabilitation | 1245 N Broadway, Milwaukee, WI 53202-2507 | 2018-11-06 |
| 1811487366 | Devon Robert Heim | Physical Medicine & Rehabilitation | 2000 Observatory Dr, Madison, WI 53706-1121 | 2018-05-10 |
| 1083103857 | Bianca Bockwinkel | Physical Medicine & Rehabilitation | 2000 Observatory Dr, Madison, WI 53706-1121 | 2018-05-07 |
| 1154810927 | Carlee Steinhaus | Physical Medicine & Rehabilitation | 2000 Observatory Dr, Madison, WI 53706-1121 | 2018-05-07 |
| 1801390448 | Hayley Ericksen | Physical Medicine & Rehabilitation | 3409 N Downer Ave, Milwaukee, WI 53211 | 2018-03-20 |
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| 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.