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MEA-AEA KENOSHA SC
NPI 1477546737
Emergency Medicine in Kenosha, WI

Active since August 23, 2005
10400 75TH ST, KENOSHA, WI 53142(262) 948-5640(440) 842-8835 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mea-aea Kenosha Sc NPPES

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

MEA-AEA KENOSHA SC (NPI 1477546737) is a healthcare organization registered as an emergency medicine in Kenosha, Wisconsin and active in the NPI registry since August 2005. The organization lists Stephen Holtzclaw, President, as its authorized official.

NPPES Registry Identity

NPI1477546737
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMEA-AEA KENOSHA SC
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing AddressPo Box 637562, Mea-aea Kenosh ScCincinnati, OH 45263-0001 · (440) 887-4718 · Fax (440) 842-8835
Phone(262) 948-5640
Fax(440) 842-8835
Organization SubpartNo
Authorized OfficialStephen HoltzclawPresident · (440) 887-4718
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1477546737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
10400 75TH ST, Kenosha, WI 53142
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Other Identifiers 2

Medicare ID-Type Unspecified32395WI
Medicaid21262900WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. UZMA REZVI M. D.
Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DAVID B KITE PA
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-7000
MRS. SUSAN H. PERGANDE WHNP
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-6714
DAVID ERIC FARKAS MD
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Kenosha County (262) 697-7000
PAULA MICHELLE OSGOOD CRNA
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DOROTHY KATHERINE FREE
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
ZEBI FATIMA MD
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 942-5600
JENNIFER J JOHNSON RN
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5730

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 Mea-Aea Kenosha Sc's NPI number?

The NPI number for Mea-Aea Kenosha Sc is 1477546737. It was assigned to this organization in the NPPES registry on August 23, 2005.

Where is Mea-Aea Kenosha Sc located?

Mea-Aea Kenosha Sc is located at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5640.

What is Mea-Aea Kenosha Sc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mea-Aea Kenosha Sc was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.