Jan Riecan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20319 Issued in WI

Practice address

2500 North Mayfair Road
Suite 410
Wauwatosa, WI 53226-1409

Phone

(414) 774-1919

NPI assigned

Nov 8, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184794034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 410",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-774-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 410",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-774-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECAN",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "20319",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "20319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30211200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J Richer, M.D.
• Timothy Matthew Richer, M.D.
• Tess C Richerson, NP
• Theresa M Richter, MD
• Amy Louise Ridley Meyers, PHD
• Anthony A Rieder, M.D.
• Robert L Riegert, LCSW
• Judith M Riesch, PA
• Riley Consultant Services (Riley Supportive Services)
• Riley's Residential Home Care, LLC (Riley's)

• General Practice Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.