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

Kevin L Polglaze, DO

Individual provider Emergency Medicine Physician · NPI 1053555367

Kevin L Polglaze, DO is an Emergency Medicine in Oshkosh, Wisconsin. Qualified in 2006, 20 years ago. Practices with Baycare Aurora LLC, a 199-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2009
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.

See every abbreviation used in this directory →

Practice location Address checks out

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone: (920) 456-7400
Fax: (920) 456-7421
Show map & directions

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

Additional practice locations (1)

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 — (920) 490-9046

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 52673-021 (WI)

Record details

NPI number1053555367
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2009
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address1035 Kepler Dr, Green Bay, WI 54311-8320

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Oshkosh