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DR. JESSE VARNEY DEGROAT JR. M.D.
NPI 1407823156
Family Medicine in Racine, WI

Active since March 01, 2006
1320 WISCONSIN AVE, RACINE, WI 53403(262) 687-5630(262) 687-5657 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jesse Varney Degroat Jr. M.d. NPPES

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

DR. JESSE VARNEY DEGROAT JR. M.D. (NPI 1407823156) is an individual family medicine provider in Racine, Wisconsin, licensed in Wisconsin (44111-020) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1407823156
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JESSE VARNEY DEGROAT JR.Credential: M.D.
Location Address1320 WISCONSIN AVERacine, WI 53403-1978
Mailing Address709 Sheridan RdKenosha, WI 53140-1137 · (262) 552-9137 · Fax (262) 687-5657
Phone(262) 687-5630
Fax(262) 687-5657
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateAugust 23, 2011
✔ NPI 1407823156 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 · 44111-020
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.
1320 WISCONSIN AVE, Racine, WI 53403
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Other Identifiers 2

Medicare UPINH81829WI
Medicaid3224200WI

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.

KATHLEEN RASMUSSEN LPC
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2222
MARY C. MANNING N.P.
Nurse Practitioner
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2363
DENISE A KELLER COTA
Occupational Therapy Assistant
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2640
MARY BEDFORD
Social Worker
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2380
DR. MEAGHAN KAITLIN DOHERTY M.D.
Student in an Organized Health Care Education/Training Program
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-5600
JEREMY R. BENNETT RD
Dietitian, Registered
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2781
WFHC - ALL SAINTS
Psychiatric Hospital
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-4011
MELANIE A BUCHAKLIAN LPC
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2222

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 Jesse Degroat's NPI number?

The NPI number for Jesse Degroat is 1407823156. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Jesse Degroat located?

Jesse Degroat practices at 1320 Wisconsin Ave, Racine, WI 53403. The listed phone number is (262) 687-5630.

What is Jesse Degroat'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 Jesse Degroat was last updated on August 23, 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.