Michael H. Jacker, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

63207-20 Issued in WI

Practice address

9697 Saint Catherines Dr Ste 200
Pleasant Prairie, WI 53158-2118

Phone

(262) 656-3590

Fax

(262) 656-3591

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1235164328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-3590",
            "fax_number": "262-656-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9697 SAINT CATHERINES DR STE 200",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582118",
            "telephone_number": "262-656-3590",
            "fax_number": "262-656-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKER",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "63207-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235164328",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ihc Hospitalists LLC
• Ihc Hospitalists LLC
• Ihc Pleasant Prairie Inpatient Services LLC
• Ihc-Kenosha Radiology, LLC
• Ihc-Wound Care Services LLC
• Brittany Wanda Jake, PTA
• Laronda James, NURSE PRACTITIONER
• Jandali Surgical Associates, S.C.
• Majed Jandali, MD
• Kylie Jansky

• Orthopaedic Surgery Physician in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.