DR. JERRY SPEIGHT GRIMES JR.


Address: 4642 N Loop 289 Ste 101, Lubbock, TX 79416-2422
Phone: 8067974985

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).

Provider Overview

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

Taxonomy

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

Other Providers JERRY GRIMES

NPI Name Taxonomy Address Enumeration
1457579609 Jerry D. Grimes Specialist/Technologist, Other 705 Whisper Trl, Apt #204b, Austell, GA 30168-7135 2007-04-23

Office Location

Street Address 4642 N LOOP 289 STE 101
City LUBBOCK
State TX
Zip Code 79416-2422

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City LUBBOCK
Zip Code 79416

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Dataset Information

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.

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