JACK M LOCKHART MD
NPI 1104822113
Internal Medicine - Rheumatology in Onalaska, WI

Active since June 23, 2005
3111 GUNDERSEN DR, ONALASKA, WI 54650(608) 775-8630 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack M Lockhart Md NPPES

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

JACK M LOCKHART MD (NPI 1104822113) is an individual rheumatology provider in Onalaska, Wisconsin, licensed in Wisconsin (20752) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104822113
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJACK M LOCKHARTCredential: MD
Location Address3111 GUNDERSEN DROnalaska, WI 54650-8447
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateSeptember 26, 2011
NPI 1104822113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WI · 20752
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3111 GUNDERSEN DR, Onalaska, WI 54650

Other Identifiers 3

Medicare PIN0074WI
Medicare UPINB54644
Medicaid31317600WI

Other Providers at the Same Location NPPES 20

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

Specialist
3111 GUNDERSEN DR
ONALASKA, WI 54650
Nurse Practitioner (Family)
3111 GUNDERSEN DR
ONALASKA, WI 54650
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
Physical Therapist
3111 GUNDERSEN DR
ONALASKA, WI 54650
Nurse Practitioner (Adult Health)
3111 GUNDERSEN DR
ONALASKA, WI 54650
Family Medicine
3111 GUNDERSEN DR
ONALASKA, WI 54650

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 Lockhart's NPI number?

The NPI number for Jack Lockhart is 1104822113. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Jack Lockhart located?

Jack Lockhart practices at 3111 Gundersen Dr, Onalaska, WI 54650. The listed phone number is (608) 775-8630.

What is Jack Lockhart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Jack Lockhart was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.