Patrick James Kiefer, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

28008 Issued in WI

Practice address

4500 Oak Ridge Cir
De Pere, WI 54115-9267

Phone

(920) 336-1662

Fax

(920) 336-5745

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1023034832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 OAK RIDGE CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159267",
            "telephone_number": "920-336-1662",
            "fax_number": "920-336-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 OAK RIDGE CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159267",
            "telephone_number": "920-336-1662",
            "fax_number": "920-336-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WI",
            "license": "28008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30745300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla E Kennedy, NP
• Bradley John Kenny, D.C.
• Julie Kero
• Ann Keyser
• Kim L Keyser, LCSW
• Lesley J Kieffer, DO
• Carol Klak, OTR
• Carlie Marie Klister, OT
• Brianna Klotz, DNP, APNP, FNP-BC
• Vanessa Lynn Knippel, M.A., LMFT 53937

• Trauma Surgery Physician in De Pere, WI
• Providers in De Pere, WI by specialty
• Trauma Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.