DR. ROMEO B BIBOSO (NPI# 1821104795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821104795 |
| Entity Type | Individual |
| Full Name | DR. ROMEO B BIBOSO |
| Credential | MD |
| Practice Address |
5401 Douglas Ave Ste A Racine WI 53402 |
| Practice Telephone | 2626818829 |
| Practice Fax Number | 2626818830 |
| Mailing Telephone | 2626818829 |
| Mailing Fax Number | 2626818830 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 17363020 | WI | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
17363020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AB4132104 | 01 |
| Street Address |
5401 DOUGLAS AVE STE A |
| City | RACINE |
| State | WI |
| Zip Code | 53402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1174931711 | Kimberly Filkins | Acupuncturist | 5401 Douglas Ave, Racine, WI 53402-2034 | 2014-07-28 |
| 1902196538 | Catherine Rose Ulrich | Occupational Therapist | 5401 Douglas Ave, Suite A, Racine, WI 53402-2034 | 2011-04-16 |
| 1003011875 | Yorgan Chiropractic Office, Sc | Chiropractor | 5401 Douglas Ave, Racine, WI 53402-2034 | 2007-06-20 |
| 1427103738 | Caledonia Physical Therapy, S.c. | Clinic/Center | 5401 Douglas Ave, Racine, WI 53402-2034 | 2007-01-24 |
| 1356400519 | Timothy Paul Schneider | Chiropractor | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-12-06 |
| 1194883256 | Kenneth John Yorgan | Chiropractor | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-12-04 |
| 1437232733 | Timothy Lee Ulrich | Physical Therapist | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| 1407874191 | Steven E Drenning | Social Worker | 3710 Douglas Avenue, Racine, WI 53402 | 2006-07-18 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309276 | Wisconsin Spine and Pain Sc | Pain Medicine | 1604 Cedar Bnd, Hartland, WI 53029-8663 | 2020-06-01 |
| 1679119689 | Pain Physicians of Wisconsin, Sc | Pain Medicine | 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 | 2019-11-25 |
| 1619359122 | Pain Relief, Inc. | Pain Medicine | 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 | 2015-06-19 |
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1285924969 | Thomas J. Guhl, M.d., S.c. | Pain Medicine | 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 | 2011-04-14 |
| 1457459869 | Nichole Virgo | Pain Medicine | 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 | 2006-09-20 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
| 1750791901 | David L. Scherwinski, M.d., S.c. | Pain Medicine | 140 24th St S, Wisconsin Rapids, WI 54494-1906 | 2014-04-28 |
| 1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
| 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.