Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy S Staacke, MD

Individual provider Anesthesiology Physician · NPI 1457335523

Dr. Timothy S Staacke, MD is an Anesthesiology in Kenosha, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1993, 33 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
33
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 697-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 39495 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 39495-020 (WI)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 39495 (WI)

Record details

NPI number1457335523
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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