PATRICK JAMES KIEFER


Address: 4500 Oak Ridge Cir, De Pere, WI 54115-9267
Phone: 9203361662

PATRICK JAMES KIEFER (NPI# 1023034832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023034832
Entity Type Individual
Full Name PATRICK JAMES KIEFER
Credential MD
Practice Address 4500 Oak Ridge Cir
De Pere
WI 54115-9267
Practice Telephone 9203361662
Practice Fax Number 9203365745
Mailing Telephone 9203361662
Mailing Fax Number 9203365745
Enumeration Date 2006-07-14
Last Update Date 2012-04-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
28008 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30745300 05

Office Location

Street Address 4500 OAK RIDGE CIR
City DE PERE
State WI
Zip Code 54115-9267

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NPI Name Taxonomy Address Enumeration
1871138073 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 723 Main Ave, Depere, WI 54115 2019-11-12
1568928083 Stephanie J Towle Speech-Language Pathologist 200 S. 9th St, De Pere, WI 54115 2019-02-20
1164988499 Maribel L Zoeller Physical Therapy Assistant 200 S. 9th Street, Depere, WI 54115 2019-02-12
1255897641 Elizabeth Eberius Acupuncturist 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 2019-02-11
1548750458 Jordyn E Arndt Physical Therapist 1601 Lawrence Dr Ste 100, De Pere, WI 54115 2018-05-16
1588153514 David Nowakowski Registered Nurse 158 Cavil Way, De Pere, WI 54115 2018-05-04
1457858557 Rennes Assisted Living Corp. Assisted Living Facility 1150 Lois Street, Depere, WI 54115 2018-04-06
1518473966 Kirsten Lynne Masrelian Behavioral Analyst 2073 Lawrence Dr, De Pere, WI 54115 2017-12-21
1285146050 Sydney Marie Schultz Physical Medicine & Rehabilitation 200 S. Ninth Street, De Pere, WI 54115 2017-11-01
1134666514 Nicole L Bickham Psychologist 416 George St Ste 108, De Pere, WI 54115 2017-01-24
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467930867 Patrick Murphy Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2018-07-30
1205271764 David C Tomich Surgery 700 S Park St, Madison, WI 53715-1830 2013-05-09
1891038394 Joshua Simon Pearl Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2013-04-03
1700141785 Lucy Martinek Surgery 1000 N Oak Ave, Marshfield, WI 54449 2012-07-06
1780993386 Adam Lee Goldstein Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2010-09-29
1417261363 Douglas Franklin Soltys Surgery 700 S Park St, Madison, WI 53715-1830 2010-08-03
1174843478 Melody R.s. Threlkeld Surgery 700 S Park St, Madison, WI 53715-1830 2010-06-09
1205061579 Rachel Sarah Morris Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2009-05-15
1669650826 Jeremy Scott Juern Surgery 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 2008-02-08
1558544502 Charity Annelien Wip Surgery 700 S Park St, Madison, WI 53715-1830 2007-12-13
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Competitor

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City DE PERE
Zip Code 54115

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Dataset Information

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.

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