DR. JERRY SPEIGHT GRIMES JR. (NPI# 1528020336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528020336 |
Entity Type | Individual |
Full Name | DR. JERRY SPEIGHT GRIMES JR. |
Credential | M.D. |
Practice Address |
4642 N Loop 289 Ste 101 Lubbock TX 79416-2422 |
Practice Telephone | 8067974985 |
Practice Fax Number | 8067928588 |
Mailing Telephone | 8067974985 |
Mailing Fax Number | 8067928588 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2015-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | M1725 | TX | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
M1725 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457579609 | Jerry D. Grimes | Specialist/Technologist, Other | 705 Whisper Trl, Apt #204b, Austell, GA 30168-7135 | 2007-04-23 |
Street Address |
4642 N LOOP 289 STE 101 |
City | LUBBOCK |
State | TX |
Zip Code | 79416-2422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417476201 | Hillary Paige Mayers | Nurse Practitioner | 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422 | 2017-09-13 |
1730602749 | Miranda Altman | Nurse Practitioner | 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422 | 2017-07-21 |
1235520081 | Bruce Warren Satterfield Jr. | Nurse Practitioner | 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422 | 2015-02-16 |
1366729311 | Kendall Denise Wines | Nurse Practitioner | 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422 | 2011-11-04 |
1215030408 | Charity Renee Purser | Nurse Practitioner | 4642 N Loop 289 Ste 101, Lubbock, TX 79416 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
Find all providers in zip 79416 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JERRY SPEIGHT GRIMES JR..
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.