Honor on-Site Clinics

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

HONOR ON-SITE CLINICS

Practice address

605 W Veterans Way
Mukwonago, WI 53149-1116

Phone

(715) 558-3510

NPI assigned

May 29, 2023

Last updated

May 29, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HONOR ON-SITE CLINICSAs reported in NPPES

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

Authorized official

Name

Jennifer Fick, PA-CNPI 1932182177

Title

Owner, Physician Assistant

Phone

(715) 558-3510

Specialties & licenses 1

Addresses

Tax ID family

Honor on-Site Clinics2 organizations share this tax ID, including this one

Part of

Honor on-Site Clinics

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Honor on-Site Clinic

  • Medical Physician Assistant
  • Muskego, WI
  • NPI 1265122022
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Honor on-Site Clinic

  • Medical Physician Assistant
  • Muskego, WI
  • NPI 1265122022
  NPPES parent name

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.

• Jennifer L Fick, PA-C

  • Physician Assistant
  • Daytona Beach, FL
  • NPI 1932182177
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1366135253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W179S6914 MUSKEGO DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509631",
            "telephone_number": "715-558-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W VETERANS WAY",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491116",
            "telephone_number": "715-558-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOR ON-SITE CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HONOR ON-SITE CLINICS",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A",
        "authorized_official_last_name": "FICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "715-558-3510",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Heidelmeier, PMHNP-BC
• Karrie Henning, R.N.
• Stephen Douglas Herbst, PHARMD
• Crystal Hill, LPN
• Sue Baird Holmes, R.N.
• Debra Marie Hudson, LPN
• Diann Louise Ikeler, OTR
• Kathy Ann Janisch, RN
• Joanne Elizabeth Jessen, PT
• Daniel E. Johnson, M.D.

• Medical Physician Assistant in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.