NPIMap

Organization Active NPI

Jack W Hutter SC

  • Foot Surgery Podiatrist
  • Oconomowoc, WI
National Provider Identifier
1063614048
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
474 Issued in WI
Legal business name
JACK W HUTTER SC
Practice address
422 Summit Ave
Oconomowoc, WI 53066-3749
Phone
(262) 567-4724
Fax
(262) 567-5195
NPI assigned
Jun 2, 2007
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Jack William HutterNPI 1528029295
Title
President
Phone
(262) 567-4724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 474 WI Primary

Addresses

Primary practice location

422 Summit Ave
Oconomowoc, WI 53066-3749

Mailing address

PO Box 192
Oconomowoc, WI 53066-0192
Phone (262) 567-4724

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1063614048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530660192",
            "telephone_number": "262-567-4724",
            "fax_number": "262-567-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663749",
            "telephone_number": "262-567-4724",
            "fax_number": "262-567-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK W HUTTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-02",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-567-4724",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.