OrganizationActive
Mea-Aea Kenosha Sc
NPI 1477546737 · Emergency Medicine Physician · Kenosha, WI
Provider details
- NPI number
- 1477546737
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Holtzclaw, President(440) 887-4718
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5640
Fax: (440) 842-8835
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 637562
Cincinnati, OH 45263-0001
Registry dates
- Enumerated
- 2005-08-23
- Last updated
- 2012-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.