Jeffrey E Taxman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26227 Issued in WI

Practice address

11501 N Port Washington Rd
G30
Mequon, WI 53092-3465

Phone

(262) 241-8100

Fax

(262) 241-8200

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mequon Clinical Associates, S.C.

  • Professional Counselor
  • Mequon, WI
  • NPI 1750774766
  NPD Authorized official
• Intergrated TMS, LLC

  • Psychiatry Physician
  • Mequon, WI
  • NPI 1336699099
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114066610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "G30",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923465",
            "telephone_number": "262-241-8100",
            "fax_number": "262-241-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "G30",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923465",
            "telephone_number": "262-241-8100",
            "fax_number": "262-241-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAXMAN",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "26227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip James Swoboda, FAAA
• Linda Marie Szafranski, M.S.W. LCSW ACSW
• Morgan Tagye
• Djerrick Cu Tan, M.D.
• Terriana Janai Taper
• Larry E Taylor
• David R Teplin, DDS
• Stanley F Teplin, DDS
• Kayla Irene Terriquez, MS, BCBA
• Michael Tetkoski, PHD

• Psychiatry Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.