DAVID RALPH KEIM (NPI# 1770509580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770509580 |
| Entity Type | Individual |
| Full Name | DAVID RALPH KEIM |
| Credential | MD |
| Practice Address |
3021 Voyager Dr Green Bay WI 54311-8303 |
| Mailing Address |
Po Box 19070 Prevea Health Green Bay WI 54307-9070 |
| Practice Telephone | 9204964700 |
| Practice Fax Number | 9204311849 |
| Mailing Telephone | 9204964700 |
| Mailing Fax Number | 9204311849 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
33638 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31877400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083785752 | David C Keim | Dentist | 795 Sunset Blvd, Kalispell, MT 59901-3699 | 2006-11-13 |
| Street Address |
3021 VOYAGER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671792 | Kathleen Ann Mcdougal | Internal Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2005-10-04 |
| 1518451418 | Amanda Smith | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-06-14 |
| 1881182715 | Elizabeth Lindner | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-04-26 |
| 1265882559 | Ashley Lynn Wilson | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-06-16 |
| 1376990408 | Nicholas Schiedermayer | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-05-18 |
| 1639534209 | Abigail Riegelman | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-12-23 |
| 1205214178 | Jasmine John | Preventive Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-05-12 |
| 1396150892 | Kim M Schmeling | Nurse Practitioner | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-06-24 |
| 1578973897 | Nicholas Kropp | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-05-08 |
| 1982040796 | Cathy L Lentz | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2013-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497173215 | Danielle Fair | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-03-29 |
| 1548503972 | Sara Elizabeth Sabbagh | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-04-04 |
| 1649329574 | Dominic O Co | Pediatrics | 600 Highland Ave, Madison, WI 53792-4874 | 2007-01-09 |
| 1316033749 | Grant Douglas Syverson | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2006-10-05 |
| 1467408658 | Calvin B Williams | Pediatrics | 9000 W Wisconsin Ave, Pediatric Rheumatology, Milwaukee, WI 53226-4874 | 2006-05-26 |
| 1285688028 | Judyann Olson | Pediatrics | 9000 W Wisconsin Ave, Pediatric Rheumatology, Milwaukee, WI 53226-4874 | 2006-05-19 |
| 1508818287 | James J Nocton | Pediatrics | 9000 W Wisconsin Ave, Pediatric Rheumatology, Milwaukee, WI 53226-4874 | 2006-05-17 |
| 1528010113 | James W Verbsky | Pediatrics | 9000 W Wisconsin Ave, Pediatric Rheumatology, Milwaukee, WI 53226-4874 | 2006-05-16 |
| 1134195399 | Anna Huttenlocher | Pediatrics | 451 Junction Rd, Madison, WI 53717 | 2006-02-27 |
| 1386617116 | Judith A Smith | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2006-02-10 |
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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.