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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
28008 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30745300 | 05 |
Street Address |
4500 OAK RIDGE CIR |
City | DE PERE |
State | WI |
Zip Code | 54115-9267 |
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 |
Find all providers in zip 54115 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
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/. |
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 |
Find all providers with the same taxonomy |
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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.