Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689618571 Individual Practitioner Male Practitioner

Dr. Jack Hudson Deckard , MD

Neurological Surgery • Glendale, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jack Deckard, MD is a registered healthcare professional specializing in Neurological Surgery in Glendale, WI. Practice services are available at 5150 N PORT WASHINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5150 N Port Washington Rd
Ste 220

Glendale, WI 532175474

Telephone 4149610089
Fax 4149611043
Associated Practice Facility / Clinic
🏢 Bruce Holmstrom D.d.s.,sc Facility NPI 1114029048

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Glendale, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Glendale, WI (185 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License WI 24495

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30464900 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1003918913

Doctor of Dental Surgery

NPI 1336237312

Doctor of Medicine (M.D.)

Heidi Weidner , PT

Physical Therapist

NPI 1528200599

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 31, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2010

Registered at 5150 N PORT WASHINGTON RD, STE 220, GLENDALE, WI 532175474 (Tel: 4149610089)

📍
Updated Business Mailing Address August 31, 2010

Registered at 5150 N PORT WASHINGTON RD, STE 220, GLENDALE, WI 532175474 (Tel: 4149610089)

👤
Provider Name / Credentials Updated August 31, 2010

Recorded as JACK DECKARD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2010

Neurological Surgery (License #24495 in WI)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689618571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: August 31, 2010
Sole Proprietor: Yes

Mailing Address

5150 N Port Washington Rd, Ste 220

Glendale, WI 532175474

Phone: 4149610089

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.