Active NPI
Jack W Hutter, DPM
- Podiatrist
- Oconomowoc, WI
National Provider Identifier
1528029295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 474
- Practice address
- 422 E Summit Ave
Oconomowoc, WI 53066-3749 - Phone
- (262) 567-4724
- Fax
- (262) 567-5195
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 474 | WI | Primary |
Addresses
Primary practice location
422 E Summit Ave
Oconomowoc, WI 53066-3749
Mailing address
PO Box 192
Oconomowoc, WI 53066-0192
Phone (262) 567-4724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1528029295",
"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 E SUMMIT AVE",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663749",
"telephone_number": "262-567-4724",
"fax_number": "262-567-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTER",
"first_name": "JACK",
"middle_name": "W",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"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 Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.