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JACK R MEYER MD
NPI 1093709651
Family Medicine in Little Chute, WI

Active since September 09, 2005
200 PATRIOT DR, LITTLE CHUTE, WI 54140(920) 687-2800 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack R Meyer Md NPPES

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

JACK R MEYER MD (NPI 1093709651) is an individual family medicine provider in Little Chute, Wisconsin, licensed in Wisconsin (27277) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1093709651
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK R MEYERCredential: MD
Location Address200 PATRIOT DRLittle Chute, WI 54140-1184
Mailing Address200 Patriot DrLittle Chute, WI 54140-1184 · (920) 687-2800
Phone(920) 687-2800
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1093709651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 27277
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 PATRIOT DR, Little Chute, WI 54140
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Other Identifiers 3

Medicaid30756500WI
Medicare PIN004145300WI
Medicare UPINB55059

Other Providers at the Same Location NPPES 5

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

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Clinic/Center (Multi-Specialty)
200 PATRIOT DR
LITTLE CHUTE, WI 54140
Outagamie County (920) 687-2800
MEENA P VIR MD
Family Medicine
200 PATRIOT DR
LITTLE CHUTE, WI 54140
Outagamie County (920) 687-2800
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Durable Medical Equipment & Medical Supplies
200 PATRIOT DR
LITTLE CHUTE, WI 54140
Outagamie County (920) 687-2800
MEHEZA TCHEDIE PANNLA NP
Nurse Practitioner (Family)
200 PATRIOT DR
LITTLE CHUTE, WI 54140
Outagamie County (920) 687-2800
BRIEANNA M HAROLDSON PA-C
Physician Assistant
200 PATRIOT DR
LITTLE CHUTE, WI 54140
Outagamie County (920) 687-2800

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 Meyer's NPI number?

The NPI number for Jack Meyer is 1093709651. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Jack Meyer located?

Jack Meyer practices at 200 Patriot Dr, Little Chute, WI 54140. The listed phone number is (920) 687-2800.

What is Jack Meyer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Meyer was last updated on September 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.