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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. CHARLES R LEADHOLM M.D.
NPI 1194787846
Emergency Medicine - Emergency Medical Services in Burlington, WI

Active since April 06, 2006
252 MCHENRY ST, BURLINGTON, WI 53105(262) 767-6100(262) 767-6098 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles R Leadholm M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES R LEADHOLM M.D. (NPI 1194787846) is an individual emergency medical services provider in Burlington, Wisconsin, licensed in Wisconsin (20148) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1194787846
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. CHARLES R LEADHOLMCredential: M.D.
Location Address252 MCHENRY STBurlington, WI 53105-1828
Mailing Address7071 S 13th St, Ste 104Oak Creek, WI 53154-1466 · (414) 570-7106 · Fax (414) 570-7136
Phone(262) 767-6100
Fax(262) 767-6098
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1194787846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in WI · 20148
Definition

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.

252 MCHENRY ST, Burlington, WI 53105
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Other Identifiers 1

Medicaid30775700WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMAKRISHNA P VENUGOPALAN MD
Internal Medicine (Gastroenterology)
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6148
DR. ERNESTO C CABABA M.D.
Anesthesiology
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-2411
SOUTHEASTERN WISCONSIN ANESTHESIOLOGY, S.C.
Anesthesiology
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-2411
RAMAKRISHNA P VENUGOPALAN MD SC
Internal Medicine (Gastroenterology)
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6148
MS. JACKIE A SCHNEIDER RN,CRNFA
Registered Nurse
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-3062
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-0700
ADAM KUPIETZ PTA
Physical Therapy Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-2411
CHERYL OSTRENGA OT
Occupational Therapist
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (232) 763-2411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Leadholm's NPI number?

The NPI number for Charles Leadholm is 1194787846. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Charles Leadholm located?

Charles Leadholm practices at 252 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-6100.

What is Charles Leadholm's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Charles Leadholm was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.