DR. CHARLES R LEADHOLM M.D.
NPI 1194787846
Emergency Medicine - Emergency Medical Services in Burlington, WI
NPI Status: Active since April 06, 2006
Contact Information
252 MCHENRY ST
BURLINGTON, WI
ZIP 53105
Phone: (262) 767-6100
Fax: (262) 767-6098
- Individual
- Male
- Emergency Medicine
- Emergency Medical Services
About CHARLES LEADHOLM
This page provides the complete NPI Profile along with additional information for Charles Leadholm, a provider established in Burlington, Wisconsin with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1194787846 assigned on April 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 20148 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1194787846
- Provider Name
- DR. CHARLES R LEADHOLM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 252 MCHENRY ST BURLINGTON, WI 53105
- Location Phone
- (262) 767-6100
- Location Fax
- (262) 767-6098
- Mailing Address
- 7071 S 13TH ST STE 104 OAK CREEK, WI 53154
- Mailing Phone
- (414) 570-7106
- Mailing Fax
- (262) 767-6098
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-06-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20148
- License State
- WI
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30775700 | MEDICAID (05) | WI | |
| B54491 | MEDICARE UPIN (02) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 9 | 4 | 7 | 8 | 7 | 8 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 14 | 8 | 14 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 1 + 4 + 8 + 1 + 4 + 8 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1194787846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265428775 | RAMAKRISHNA P VENUGOPALAN MD Individual | Internal Medicine (Gastroenterology) | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6148 |
| 1588647465 | DR. ERNESTO C CABABA M.D. Individual | Anesthesiology | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 763-2411 |
| 1639125701 | SOUTHEASTERN WISCONSIN ANESTHESIOLOGY, S.C. Organization | Anesthesiology | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 763-2411 |
| 1245269737 | RAMAKRISHNA P VENUGOPALAN MD SC Organization | Internal Medicine (Gastroenterology) | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6148 |
| 1902913296 | MS. JACKIE A SCHNEIDER RN,CRNFA Individual | Registered Nurse | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 763-3062 |
| 1437368875 | AURORA MEDICAL GROUP, INC. Organization | Durable Medical Equipment & Medical Supplies | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 763-0700 |
| 1013111012 | ADAM KUPIETZ PTA Individual | Physical Therapy Assistant | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 763-2411 |
| 1437353430 | CHERYL OSTRENGA OT Individual | Occupational Therapist | 252 MCHENRY ST BURLINGTON, WI 53105 (232) 763-2411 |
| 1699979609 | BRENDA WRIGHT PT Individual | Physical Therapist | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 763-2411 |
| 1992909972 | KATHERINE SCHMIDT MPT Individual | Physical Therapist | 252 MCHENRY ST BURLINGTON, WI 53105 (232) 763-2411 |
| 1851574446 | MICHELLE M LEBAS-BOWEN SLP Individual | Speech-Language Pathologist | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-7174 |
| 1619127784 | DENITA J JONES PTA Individual | Physical Therapy Assistant | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-7120 |
| 1265495527 | DR. JOHN W LINSTROTH M.D. Individual | Emergency Medicine (Emergency Medical Services) | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6000 |
| 1396782579 | MATTHEW A NERLAND DO Individual | Emergency Medicine | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6100 |
| 1982806618 | INDERMOHAN S THETHI MD Individual | Internal Medicine | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6100 |
| 1255700282 | MRS. CAROL MARY NEUMANN RD Individual | Dietitian, Registered | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6370 |
| 1073576336 | DR. RICHARD F WAGNER M.D. Individual | Emergency Medicine (Emergency Medical Services) | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6100 |
| 1366708943 | ANDREW MILES OVERTURF M.D. Individual | Anesthesiology | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6000 |
| 1134572530 | LYNN S RAML OTR Individual | Community Health Worker | 252 MCHENRY ST BURLINGTON, WI 53105 (414) 525-1863 |
| 1700321726 | MARY ITZENHEISER Individual | Registered Nurse (Diabetes Educator) | 252 MCHENRY ST BURLINGTON, WI 53105 (262) 767-6487 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194787846, enumerated in the NPI registry as an "individual" on April 06, 2006
The provider is located at 252 Mchenry St Burlington, Wi 53105 and the phone number is (262) 767-6100
The provider's speciality is Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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