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JACK W HUTTER SC
NPI 1063614048
Podiatrist - Foot Surgery in Oconomowoc, WI

Active since June 02, 2007
422 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 567-4724(262) 567-5195 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack W Hutter Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W HUTTER SC (NPI 1063614048) is a healthcare organization registered as a foot surgery in Oconomowoc, Wisconsin and active in the NPI registry since June 2007. The organization lists Jack William Hutter, President, as its authorized official.

NPPES Registry Identity

NPI1063614048
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameJACK W HUTTER SC
Location Address422 SUMMIT AVEOconomowoc, WI 53066-3749
Mailing AddressPo Box 192Oconomowoc, WI 53066-0192 · (262) 567-4724 · Fax (262) 567-5195
Phone(262) 567-4724
Fax(262) 567-5195
Organization SubpartNo
Authorized OfficialJack William HutterPresident · (262) 567-4724
Enumeration DateJune 2, 2007
Last NPPES UpdateJune 22, 2010
✔ NPI 1063614048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in WI · 474
422 SUMMIT AVE, Oconomowoc, WI 53066
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Other Identifiers 3

Medicare NSC0919940001WI
Medicare UPINT62282
Medicare UPIN84450WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCK RIVER FOOT AND ANKLE CLINIC SC
Non-Pharmacy Dispensing Site
422 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 490-4568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack W Hutter Sc's NPI number?

The NPI number for Jack W Hutter Sc is 1063614048. It was assigned to this organization in the NPPES registry on June 2, 2007.

Where is Jack W Hutter Sc located?

Jack W Hutter Sc is located at 422 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-4724.

What is Jack W Hutter Sc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Jack W Hutter Sc was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.