DR. KELLY DAMON GRIMES (NPI# 1497787873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497787873 |
Entity Type | Individual |
Full Name | DR. KELLY DAMON GRIMES |
Credential | D.O. |
Practice Address |
3437 W 7th St Suite 210 Fort Worth TX 76107-2718 |
Practice Telephone | 8177976599 |
Practice Fax Number | 8177358049 |
Mailing Telephone | 8177976599 |
Mailing Fax Number | 8177358049 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-01-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | K7749 | TX | Allopathic & Osteopathic Physicians |
Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
K7749 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 0056PJ | 01 |
TX | 144815104 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215192471 | Kelly R Grimes | Physical Therapist | 1203 N Columbia Dr, Milledgeville, GA 31061-2395 | 2008-07-26 |
1629129051 | Kelly Marie Grimes | Registered Nurse | 10070 Wheat Ridge Dr, Frisco, TX 75034-4719 | 2007-01-14 |
1790162667 | Kelly Grimes | Behavioral Analyst | 120 Theresa Ave, American Canyon, CA 94503-9654 | 2015-04-29 |
1649588716 | Kelly Elizabeth Grimes | Physical Therapist | 21263 Erwin St, Woodland Hills, CA 91367-3715 | 2010-09-22 |
1639355217 | Kelly Grimes | Registered Nurse | 2441a County Road 501, Ripley, MS 38663-9677 | 2008-01-14 |
Street Address |
3437 W 7TH ST SUITE 210 |
City | FORT WORTH |
State | TX |
Zip Code | 76107-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770544389 | Mark Allen Sanders | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2006-03-31 |
1336696087 | Third Eye After Hours, Pllc | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2016-09-09 |
1770030587 | Third Eye Wound Care, Pllc | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2016-09-09 |
1548661713 | Gerination Medical Centers, LLC | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2014-09-08 |
1366869513 | Ronald Maclean Palmer | Nurse Practitioner | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2014-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
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 |
---|---|---|---|---|
1871041913 | Rrr Hyperbarics 3 LLC | Preventive Medicine | 4545 Heritage Trace Pkwy, Fort Worth, TX 76244-8921 | 2016-09-19 |
1740397066 | University of North Texas Health Science Center At Fort Worth | Preventive Medicine | 3500 Camp Bowie Boulevard, Fort Worth, TX 76107 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447321 | Central Texas Wound Healing Associates, Pllc | Preventive Medicine | 2300 Clear Creek Rd Ste 101, Killeen, TX 76549-4985 | 2020-11-05 |
1003470618 | Healogy Group Pllc | Preventive Medicine | 401 W Campbell Rd Ste 300, Richardson, TX 75080-3416 | 2019-04-29 |
1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
1134694532 | Natividad Wound Care, LLC | Preventive Medicine | 138 Zamora Medical Cir, Eagle Pass, TX 78852-5924 | 2018-10-11 |
1659887248 | Rrr Hyperbarics 5, LLC | Preventive Medicine | 4150 N. Collins Street, Arlington, TX 76005 | 2017-12-19 |
1588179055 | Jaimi Lynne Stockstill | Preventive Medicine | 6161 N State Highway 161 Ste 310, Irving, TX 75038-2220 | 2017-12-06 |
1922511898 | Wound Care & Research Center of North Texas Pllc | Preventive Medicine | 502 N Valley Pkwy Ste 1, Lewisville, TX 75067-3437 | 2017-11-14 |
1093225518 | Dfw Wound & Hyperbarics, P.a. | Preventive Medicine | 2301 Marsh Ln Ste 200, Plano, TX 75093-8497 | 2017-10-10 |
1851800361 | Physicians Wound Care Pllc | Preventive Medicine | 4499 Medical Dr Ste Sl2, San Antonio, TX 78229-3722 | 2017-09-27 |
1205367455 | Rrr Hyperbarics 4 | Preventive Medicine | 1720 Fm 544, Lewisville, TX 75056-4592 | 2017-03-21 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76107 |
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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.