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JACKSON CLINIC
NPI 1275542607
Family Medicine in Jackson, WI

Active since August 05, 2006
W225N16711 CEDAR PARK CT, JACKSON, WI 53037(262) 677-1101 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Clinic NPPES

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

JACKSON CLINIC (NPI 1275542607) is a healthcare organization registered as a family medicine in Jackson, Wisconsin and active in the NPI registry since August 2006. The organization lists Gregory G Blommel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275542607
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST BEND CLINIC
Location AddressW225N16711 CEDAR PARK CTJackson, WI 53037-9222
Mailing Address1700 W Paradise DrWest Bend, WI 53095-9795 · (262) 334-3451
Phone(262) 677-1101
Organization SubpartNo
Authorized OfficialGregory G BlommelMedical Director · (262) 334-3451
Enumeration DateAugust 5, 2006
Last NPPES UpdateMay 23, 2012
✔ NPI 1275542607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
W225N16711 CEDAR PARK CT, Jackson, WI 53037
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Other Names 1

Other NameJackson Clinic

Other Identifiers 2

Medicaid21251400WI
Medicare ID-Type Unspecified67025WI · Group Number

Other Providers at the Same Location NPPES 11

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

BRIDGET K KRATZ-SCHWARTZ PT
Physical Therapist
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (626) 771-1012
DR. ELIZABETH MARIE MORTAG DPT
Physical Therapist
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101
SARA WOLLEMANN DNP, FNP-BC, APNP
Nurse Practitioner (Family)
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101
MR. NATHAN R MATJE PT
Physical Therapist
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101
SAMUEL R STEVENS M.D.
Family Medicine
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101
DIANE M WITEK M.D.
Family Medicine
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
Durable Medical Equipment & Medical Supplies
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101
JOHN O'LEARY PA-C
Physician Assistant
W225N16711 CEDAR PARK CT
JACKSON, WI 53037
Washington County (262) 677-1101

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 West Bend Clinic's NPI number?

The NPI number for West Bend Clinic is 1275542607. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is also known as Jackson Clinic.

Where is West Bend Clinic located?

West Bend Clinic is located at W225n16711 Cedar Park Ct, Jackson, WI 53037. The listed phone number is (262) 677-1101.

What is West Bend Clinic'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 West Bend Clinic was last updated on May 23, 2012. 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.