JK Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JK MEDICAL CORP

Practice address

8825 S Howell Ave Ste 101
Oak Creek, WI 53154-3760

Phone

(414) 768-2724

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Howard Croft, MD

Title

Medical Director

Phone

(414) 768-2724

Specialties & licenses 1

Addresses

Tax ID family

JK Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• JK Medical Corp

  • Family Medicine Physician
  • Mequon, WI
  • NPI 1851008619
  NPD tax ID

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1629807219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE STE 101",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-768-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE STE 101",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-768-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-768-2724",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Janus, NRP
• Lee Eliot Jastrow, PHARMD
• Jane Jaszewski, MSW, LMFT
• Thomas R Jazwiecki, D.D.S.
• Steven J Jereb, M.D.
• Jacob Johnson
• Stephanie Johnson, PT
• Carly Jones
• Lillian I Jones
• Thomas Carl Jonson

• Family Medicine Physician in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.