DR. JACOB PHILIP DEUTSCH M.D. NPI 1942689450

NPI Information

NPI: 1942689450
Provider Name: DR. JACOB PHILIP DEUTSCH, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: LAKESHORE MEDICAL CLINIC LLC

PECOS Registration: Yes

Address:
2000 E LAYTON AVE
ST FRANCIS, WI
ZIP 53235
Phone: (414) 744-6589
Get Directions

DR. Jacob Philip Deutsch, M.D. is a diagnostic radiology radiology in St Francis, WI with 9 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jacob Philip Deutsch, M.D. NPI is 1942689450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 E LAYTON AVE
ST FRANCIS, WI
ZIP 53235-053
Phone: (414) 744-6589
Fax: (414) 747-8848

The NPI 1942689450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MT209134	PENNSYLVANIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	75269	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100170739	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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