BRIDGET GRIMES (NPI# 1679112072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679112072 |
| Entity Type | Individual |
| Full Name | BRIDGET GRIMES |
| Practice Address |
8560 26th Ave Kenosha WI 53143-6447 |
| Mailing Address |
8527 N 60th St Brown Deer WI 53223-2801 |
| Practice Telephone | 9202077904 |
| Mailing Telephone | 9202077904 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| 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 |
2166-39 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184793945 | Bridget Grimes | Counselor | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2006-11-07 |
| Street Address |
8560 26TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-6447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1376170589 | Carrie Dorothy Burg | Physical Medicine & Rehabilitation | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2020-03-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.