NPIMap

Organization Active NPI

JK Medical Corp

  • Family Medicine Physician
  • Mequon, WI
National Provider Identifier
1851008619
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JK MEDICAL CORP
Practice address
10556 N Port Washington Rd Ste 204
Mequon, WI 53092-5586
Phone
(414) 614-9907
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Julie Krizan
Title
Manager
Phone
(414) 614-9907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10556 N Port Washington Rd Ste 204
Mequon, WI 53092-5586

Mailing address

10556 N Port Washington Rd Ste 204
Mequon, WI 53092-5586

National Provider Directory

National Provider Directory
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.

Locations

10556 N Port Washington Rd
Ste 204
Mequon, WI 53092
Phone (262) 292-1892

10556 N Port Washington Rd
#204
Mequon, WI 53092
Phone (262) 292-1892

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1851008619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 N PORT WASHINGTON RD STE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10556 N PORT WASHINGTON RD STE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925586",
            "telephone_number": "414-614-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "KRIZAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-614-9907"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.