DR. JACK HUDSON DECKARD MD
NPI 1689618571
Neurological Surgery in Glendale, WI

Active since June 15, 2006
5150 N PORT WASHINGTON RD, STE 220, GLENDALE, WI 53217(414) 961-0089(414) 961-1043 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Hudson Deckard Md NPPES

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

DR. JACK HUDSON DECKARD MD (NPI 1689618571) is an individual neurological surgery provider in Glendale, Wisconsin, licensed in Wisconsin (24495) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1689618571
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JACK HUDSON DECKARDCredential: MD
Location Address5150 N PORT WASHINGTON RD, STE 220Glendale, WI 53217-5474
Mailing Address5150 N Port Washington Rd, Ste 220Glendale, WI 53217-5474 · (414) 961-0089 · Fax (414) 961-1043
Fax(414) 961-1043
Sole ProprietorYes
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 31, 2010
NPI 1689618571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in WI · 24495
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
5150 N PORT WASHINGTON RD, Glendale, WI 53217

Other Identifiers 3

Medicare ID-Type Unspecified000001544WI
Medicaid30464900WI
Medicare UPINB52362

Other Providers at the Same Location NPPES 17

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

Psychologist
5150 N PORT WASHINGTON RD, SUITE 200
MILWAUKEE, WI 53217
Eyewear Supplier
5150 N PORT WASHINGTON RD, #251
MILWAUKEE, WI 53217
Internal Medicine (Cardiovascular Disease)
5150 N PORT WASHINGTON RD, STE 249
MILWAUKEE, WI 53217
Dentist (General Practice)
5150 N PORT WASHINGTON RD, SUITE 201
GLENDALE, WI 53217
Psychologist
5150 N PORT WASHINGTON RD, SUITE 200
MILWAUKEE, WI 53217
Specialist
5150 N PORT WASHINGTON RD, SUITE 220
GLENDALE, WI 53217
Ophthalmology
5150 N PORT WASHINGTON RD, SUITE 167
GLENDALE, WI 53217
Ophthalmology
5150 N PORT WASHINGTON RD, #251
MILWAUKEE, WI 53217

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 Deckard's NPI number?

The NPI number for Jack Deckard is 1689618571. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jack Deckard located?

Jack Deckard practices at 5150 N Port Washington Rd Ste 220, Glendale, WI 53217. The listed phone number is (414) 961-0089.

What is Jack Deckard's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Jack Deckard was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.