Active NPI
Chester Jablonski, MD
- Clinical Pathology/Laboratory Medicine Physician
- Pewaukee, WI
National Provider Identifier
1982703989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 22889
- Practice address
- N30W30249 Great Hill CT
Pewaukee, WI 53072-4268 - Phone
- (262) 367-4655
- NPI assigned
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 22889 | WI | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 22889 | WI | Primary |
Addresses
Primary practice location
N30W30249 Great Hill CT
Pewaukee, WI 53072-4268
Mailing address
N30W30249 Great Hill CT
Pewaukee, WI 53072-4268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32354000 | Medicaid | WI |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1982703989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N30W30249 GREAT HILL CT",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N30W30249 GREAT HILL CT",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724268",
"telephone_number": "262-367-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "CHESTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "WI",
"license": "22889",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "WI",
"license": "22889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32354000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.