DR. KEVIN PAUL KOOIKER


Address: 1515 Lyndale Ave, Eau Claire, WI 54701-4362
Phone: 6129781086

DR. KEVIN PAUL KOOIKER (NPI# 1134174949) 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) 1134174949
Entity Type Individual
Full Name DR. KEVIN PAUL KOOIKER
Credential MD
Practice Address 1515 Lyndale Ave
Eau Claire
WI 54701-4362
Practice Telephone 6129781086
Mailing Telephone 6129781086
Enumeration Date 2006-05-23
Last Update Date 2014-01-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 30773 MN Allopathic & Osteopathic Physicians
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
61479 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 588085800 05

Other Providers KEVIN KOOIKER

NPI Name Taxonomy Address Enumeration
1356454409 Kevin Kooiker Dentist 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 2006-08-15

Office Location

Street Address 1515 LYNDALE AVE
City EAU CLAIRE
State WI
Zip Code 54701-4362

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649887563 Molly Amanda Haferman Pharmacist 3184 London Road, Eau Claire, WI 54701 2020-09-24
1194375915 Moments Hospice of Eau Claire LLC Hospice Care, Community Based 2263 East Ridge Center, Eau Claire, WI 54701 2019-09-13
1043778228 Rita Marie Acosta Emergency Medical Technician, Basic 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 2019-03-07
1619450954 Michael Brown Case Manager/Care Coordinator 102 S Barstow St, Eau Claire, WI 54701 2018-09-12
1417436569 Valerie Jayne Both Social Worker 1000 Starr Avenue, Eau Claire, WI 54701 2018-08-09
1023519055 Rachel Delanois Specialist/Technologist Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 2018-02-25
1427564863 Matayla Springstroh Specialist/Technologist 509 University Drive, Eau Claire, WI 54701 2017-12-21
1265981062 Molly Hart Student in an Organized Health Care Education/Training Program 509 University Dr., Eau Claire, WI 54701 2016-09-22
1982051918 Renee Teigen-stary Registered Nurse 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 2016-05-19
1699104059 Susan Marie Keller Speech-Language Pathologist 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 2013-11-06
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy 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.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144703653 Quinton Jarrett Peters Emergency Medicine 1204 S Jefferson St, Appleton, WI 54915-1726 2018-09-11
1497792139 John A Culp Emergency Medicine 1446 N Randall Ave, Janesville, WI 53545-1122 2006-06-01
1861440505 Alice C Bustos Emergency Medicine 7220 W National Ave, West Allis, WI 53214-4734 2006-05-05
1184690133 Manuel A. Rivera Emergency Medicine 5000 Memorial Dr, Two Rivers, WI 54241-3900 2006-02-28
1942588132 Watertown Regional Medical Center, Inc Emergency Medicine 125 Hospital Dr, Watertown, WI 53098-3303 2011-07-22
1366692287 James John Macneal Emergency Medicine 1000 Mineral Point Ave, Janesville, WI 53548-2940 2008-09-28
1770646721 Larry R Brunzlick Emergency Medicine 135 South Gibson Street, Medford, WI 54451 2006-12-19
1669563763 Scott A Hathaway Emergency Medicine 309 N Bartlett St, Shawano, WI 54166-2127 2006-09-27
1639279383 Rajeshwar Hanmiah Emergency Medicine 309 N Bartlett St, Shawano, WI 54166-2127 2006-09-23
1598863334 George E Vidalakis Emergency Medicine 309 N Bartlett St, Shawano, WI 54166-2127 2006-09-20
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Competitor

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City EAU CLAIRE
Zip Code 54701

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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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