MEA-AEA KENOSHA SC
NPI 1477546737
Emergency Medicine in Kenosha, WI
NPI Status: Active since August 23, 2005
Contact Information
10400 75TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 948-5640
Fax: (440) 842-8835
- Organization
- Emergency Medicine
About MEA-AEA KENOSHA SC
This page provides the complete NPI Profile along with additional information for Mea-aea Kenosha Sc, a provider established in Kenosha, Wisconsin operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1477546737 assigned on August 2005. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Mea-aea Kenosha Sc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stephen Holtzclaw Md (President)
- NPI
- 1477546737
- Provider Name
- MEA-AEA KENOSHA SC
- Entity Type
- Organization
- Location Address
- 10400 75TH ST KENOSHA, WI 53142
- Location Phone
- (262) 948-5640
- Location Fax
- (440) 842-8835
- Mailing Address
- PO BOX 637562 MEA-AEA KENOSH SC CINCINNATI, OH 45263
- Mailing Phone
- (440) 887-4718
- Mailing Fax
- (440) 842-8835
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2005
- Last Update Date
- 02-21-2012
- 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
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 |
|---|---|---|---|
| 32395 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
| 21262900 | MEDICAID (05) | WI |
Reviews for MEA-AEA KENOSHA SC
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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 | 4 | 7 | 7 | 5 | 4 | 6 | 7 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 10 | 4 | 12 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 0 + 4 + 1 + 2 + 7 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1477546737 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1073595971 | QUENTIN R KASUBOSKI NP Individual | Nurse Practitioner | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1790769800 | EDWARD SHACKLEFORD DO Individual | Emergency Medicine | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1881678993 | MARC CRESCENZO MD Individual | Emergency Medicine | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1225015704 | THERESE MARIE WHITT MD Individual | Emergency Medicine | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1033170568 | MRS. SUSAN H. PERGANDE WHNP Individual | Nurse Practitioner (Women's Health) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-6714 |
| 1952310625 | MS. KATHY L BANDSTRA LCSW Individual | Social Worker (Clinical) | 10400 75TH ST #307 KENOSHA, WI 53142 (262) 948-6770 |
| 1720195639 | MS. ANITA L STELIGA APNP Individual | Nurse Practitioner | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5600 |
| 1346441524 | OTTIE BRUNO PT Individual | Physical Therapist | 10400 75TH ST KENOSHA, WI 53142 (262) 942-5600 |
| 1952562761 | ANDREA J BRACKMAN P.A. Individual | Physician Assistant | 10400 75TH ST KENOSHA, WI 53142 (262) 697-7000 |
| 1699917880 | KAREN MARIE FENSKE NNP, APNP Individual | Nurse Practitioner (Neonatal) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5200 |
| 1669776282 | DR. MATTHEW A NUCIFORO PT, DPT, OCS Individual | Physical Therapist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7045 |
| 1851695290 | EDDIE DRAGOVOJA PTA Individual | Physical Therapy Assistant | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7045 |
| 1992009393 | MS. KIMBERLY JOANN WHALEN DPT Individual | Physical Therapist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7045 |
| 1194004325 | MS. PATRICIA A. EDER SA-C Individual | Specialist/Technologist, Other (Surgical Assistant) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-6866 |
| 1932310661 | ELENA KORNIYCHUK M.D. Individual | Psychiatry & Neurology (Neurology) | 10400 75TH ST SUITE 315 KENOSHA, WI 53142 (262) 948-7815 |
| 1184978694 | NISHA K VERMANI NP Individual | Nurse Practitioner | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7000 |
| 1174869804 | MR. ANGELO JONES PHARMD Individual | Pharmacist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5680 |
| 1578743019 | GREAT LAKES NEUROSURGICAL ASSOCIATES LLC Organization | Neurological Surgery | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7000 |
| 1760623110 | DR. AMY WOIKE D.O. Individual | Family Medicine | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7370 |
| 1649388802 | RODNEY J HALVORSEN M.D. Individual | Obstetrics & Gynecology (Gynecology) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7071 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477546737, enumerated in the NPI registry as an "organization" on August 23, 2005
The provider is located at 10400 75th St Kenosha, Wi 53142 and the phone number is (262) 948-5640
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
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 August 23, 2005. 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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