MEA-AEA KENOSHA SC – Emergency Medicine Physician, NPI 1477546737

MEA-AEA KENOSHA SC is a healthcare provider. based in Cincinnati, Ohio. specializing in Emergency Medicine Physician. The NPI Number for MEA-AEA KENOSHA SC is 1477546737

Main info

Organization
Name
MEA-AEA KENOSHA SC
NPI
1477546737
Phone
(440) 887-4718
Address
PO BOX 637562
Authorized Official
STEPHEN HOLTZCLAW PRESIDENT MD
Enumeration Date
23 August 2005
Last Update Date
21 February 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for MEA-AEA KENOSHA SC

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    MEA-AEA KENOSH SC

    CINCINNATI, OH 452630001

    Phone: (440) 887-4718

    Fax: (440) 842-8835

    Type: Mailing

  • Aurora Medical Center, 10400, 75th Street, Pleasant Prairie, Kenosha County, Wisconsin, 53143, United States

    KENOSHA, WI 531427884

    Phone: (262) 948-5640

    Fax: (440) 842-8835

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

What unique ID ties claims to MEA-AEA KENOSHA SC?
NPI 1477546737 is assigned to MEA-AEA KENOSHA SC under the national enumeration system.
Is MEA-AEA KENOSHA SC's NPI currently valid?
The extract we use shows MEA-AEA KENOSHA SC as active.
Can you summarize MEA-AEA KENOSHA SC's specialty in plain language?
Clinically, the directory lists MEA-AEA KENOSHA SC with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MEA-AEA KENOSHA SC practice in Ohio?
You will see Cincinnati, Ohio on file for MEA-AEA KENOSHA SC alongside any extra practice locations.
How can I contact MEA-AEA KENOSHA SC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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