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JON B KOOISTRA MD
NPI 1649229345
Allergy & Immunology in Madison, WI

Active since May 09, 2006
752 N HIGH POINT RD, MADISON, WI 53717(608) 824-4000(608) 824-4910 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon B Kooistra Md NPPES

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

JON B KOOISTRA MD (NPI 1649229345) is an individual allergy & immunology provider in Madison, Wisconsin, licensed in Wisconsin (18484-020) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1649229345
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameJON B KOOISTRACredential: MD
Location Address752 N HIGH POINT RDMadison, WI 53717-2236
Mailing Address752 N High Point RdMadison, WI 53717-2236 · (608) 824-4000 · Fax (608) 824-4910
Phone(608) 824-4000
Fax(608) 824-4910
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateMay 19, 2014
✔ NPI 1649229345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in WI · 18484-020
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
752 N HIGH POINT RD, Madison, WI 53717
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Other Names 1

Professional Name (2)J. Brent Kooistra

Other Identifiers 6

Medicaid31012500WI
Medicare PIN021674150WI
Medicare UPINB54273WI
Medicare PIN016954340WI
Other1175WI · Dean Health Insurance
Medicare PIN030002304WI

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.

HEATHER L MUCKLER COTA
Occupational Therapy Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4821
DR. MINDY BAUER PHARMD
Pharmacist
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4500
DAVID K FALK MD
Dermatology
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DAVID A SORBER MD
Internal Medicine
752 N HIGH POINT RD, DEAN MEDICAL CENTER
MADISON, WI 53717
Dane County (608) 824-4800
JULIA L. THORSEN M.D.
Allergy & Immunology
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
SARAH A OLIVER PA-C
Physician Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DR. GRANT MACAULAY M.D.
Internal Medicine
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DR. JUI B HAKER MD
Preventive Medicine (Occupational Medicine)
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000

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 Jon Kooistra's NPI number?

The NPI number for Jon Kooistra is 1649229345. It was assigned to this individual provider in the NPPES registry on May 9, 2006. The provider is also known as J. Brent Kooistra.

Where is Jon Kooistra located?

Jon Kooistra practices at 752 N High Point Rd, Madison, WI 53717. The listed phone number is (608) 824-4000.

What is Jon Kooistra's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Jon Kooistra was last updated on May 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.