JACKIE LYNN YAEGER


Address: 804 19th St S, La Crosse, WI 54601-5003
Phone: (608) 498-0932

JACKIE LYNN YAEGER (NPI# 1144205618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144205618
Entity Type Individual
Full Name JACKIE LYNN YAEGER
Credential M.D.
Practice Address 804 19th St S
La Crosse
WI 54601-5003
Practice Telephone (608) 498-0932
Practice Fax Number 8887125437
Mailing Telephone (608) 498-0932
Mailing Fax Number 8887125437
Enumeration Date 2005-12-07
Last Update Date 2017-05-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QH0002X Family Medicine
Specialization: Hospice and Palliative Medicine
32262-20 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE MEDICAL LICENSE 21923 01
IA MEDICAL LICENSE 34247 01
IA 0235473 05
SD MEDICAL LICENSE 5939 01

Office Location

Street Address 804 19TH ST S
City LA CROSSE
State WI
Zip Code 54601-5003

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324265 Meagan Mcrae Student in an Organized Health Care Education/Training Program 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 2020-04-07
1255969671 Erin Dingman Student in an Organized Health Care Education/Training Program 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 2020-03-31
1619505047 Nicole Kay Lynch Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 2020-03-31
1174151757 Jenna Sells Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1740818301 Katie Irene Tahtinen Student in an Organized Health Care Education/Training Program Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 2020-03-30
1932737517 Margaret May Grimm Student in an Organized Health Care Education/Training Program Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1831727312 Matthew Timothy Axler Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1093340473 Denise Stinson Technician 1311 Badger St, Apt 505, La Crosse, WI 54601 2020-03-06
1922632397 Ibrahim Ahsan Pharmacist 1105 Wi-16, La Crosse, WI 54601 2020-02-25
1750913356 Liza R Collins Massage Therapist 1415 State Wi 16, La Crosse, WI 54601 2020-02-11
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Taxonomy Information

Taxonomy Code 207QH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518424480 Jennifer Flegel Family Medicine 16655 W Bluemound Rd Ste 275, Brookfield, WI 53005-5957 2019-02-26
1780747923 Kerry Ann Case Family Medicine 725 American Ave Ste 108, Phc Regional Cancer Center, Waukesha, WI 53188-5031 2006-12-19
1841723467 Rhiannon Jane Talbot Family Medicine Uw Hospitals and Clinics 600 Highland Avenue, Madison, WI 53792-0001 2017-04-10
1710391776 Ssm Health Care of Wisconsin Inc Family Medicine 700 S Park St, Madison, WI 53715-1830 2014-06-18
1982015459 Thousand Hills Healthcare, LLC Family Medicine N2359 Schacht Rd, Marinette, WI 54143-9735 2014-05-18
1275976979 Seasons Medical Group of Wisconsin, Sc Family Medicine 6737 W Washington St, Ste 2150, West Allis, WI 53214-5647 2013-04-11
1710299037 Eric S Marty Family Medicine 700 S Park St, Madison, WI 53715-1830 2010-07-02
1356558498 Diana Elizabeth Lardy Family Medicine 3706 Orin Rd, Madison, WI 53704-3643 2007-05-17

Competitor

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City LA CROSSE
Zip Code 54601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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