Jeffog Medical Wi SC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

JEFFOG MEDICAL WI SC

Practice address

21675 E Moreland Blvd
Waukesha, WI 53186-2010

Phone

(262) 325-5603

NPI assigned

Aug 25, 2026

Last updated

Aug 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey David Fogle, MD

Title

Owner

Phone

(877) 340-1697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1811804974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21675 E MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862010",
            "telephone_number": "262-325-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFOG MEDICAL WI SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-340-1697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesli Jaramillo
• Rheanna Jaske, LPC-IT, NCC
• Michael Jaworski, LPC, CADC
• Chanita Jedlicka
• Angela Rita Jeffers, PTA
• Jeffrey O'Brien, D.D.S., S.C.
• Jeffrey W Ausen DDS SC
• Gwendolyn K Jeffro, LPN
• Brevin Jay Jegerlehner, DPT
• Alexandra Jelacic, APNP

• Nursing Care Agency in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Nursing Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.