Kenneth J Heidle, DO
Kenneth J Heidle, DO is an Emergency Medicine in Pleasant Prairie, Wisconsin. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2013, 13 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.
- Years since qualifying
- 13
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- PA, WI
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
9555 76th StPleasant Prairie, WI 53158-1984
Phone: (414) 290-6720
Fax: (414) 290-6755
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 232 W 25th St, Erie, PA 16544-0002 — (814) 452-5000
- 6308 8th Ave, Kenosha, WI 53143-5031 — (414) 290-6720
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 67107-21 (WI) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence OT015080 (PA) |
Record details
| NPI number | 1083059604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | May 9, 2013 |
| Last updated in NPPES | December 28, 2021 |
| Certification date | December 28, 2021 |
| Mailing address | 111 E Wisconsin Ave Ste 2000, Milwaukee, WI 53202-4809 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2013 (13 years in practice) |
| Group practice | Froedtert South Inc — 156 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Pleasant Prairie
-
John Paul Budi, DO
9555 76th St, Pleasant Prairie, WI 53158-1984 · (262) 577-8202
-
James C Foster, MD
10256 Old Green Bay Rd Ste 140, Pleasant Prairie, WI 53158-2814 · (414) 290-6720
-
Grace Nabil Joseph, MD
9555 76th St, Pleasant Prairie, WI 53158-1984 · (262) 671-7050
-
Kenosha Emergency Physicians, LLC
9555 76th St, Pleasant Prairie, WI 53158-1984 · (414) 290-6718
-
Dr. Gregory D Rosen, MD
9555 76th St, Pleasant Prairie, WI 53158-1984 · (262) 577-8202
-
Natalia Stasior, MD
9555 76th St, Pleasant Prairie, WI 53158 · (414) 290-6720