Active NPI
Jean Frizzell
- Geriatric Medicine (Family Medicine) Physician
- West Bend, WI
National Provider Identifier
1871675603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 73266
- Practice address
- 1700 W Paradise Dr
West Bend, WI 53095-9795 - Phone
- (262) 334-3451
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 73266 | WI | Primary |
Addresses
Primary practice location
1700 W Paradise Dr
West Bend, WI 53095-9795
Mailing address
5595 County Road Z
Suite 1000
West Bend, WI 53095-9224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3802 | Other | INTERNAL ID-MOTOR VEHICLE ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73266 | WI | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare SC | Past | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1154371847
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871675603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 COUNTY ROAD Z",
"address_2": "SUITE 1000",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959795",
"telephone_number": "262-334-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIZZELL",
"first_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WI",
"license": "73266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "3802",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
- James Fredrick, SAC-IT
- Beth Ann Freisleben, OT
- Fresenius Medical Care Midwest Dialysis, LLC (Fresenius Medical Care Midwest West Bend)
- Fresh Perspective Psychotherapy LLC
- Paul Friederichs, RPH
- Froedtert & Medical College of Wi Community Physicians
- Froedtert &the Medical College of Wisconsin Community Physicians Inc
- Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
- Froedtert Health
- Froedtert Health Pharmacy LLC (Froedtert Pharmacy 100)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.