NPI 1619081080 · live from the CMS NPI Registry
Timothy J Jessick, DO
Family Medicine, Hospice and Palliative Medicine in Oshkosh, WI. National Provider Identifier 1619081080, active.
NPI record
| NPI | 1619081080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 491 S Washburn St, Oshkosh, WI 54904 |
| Practice phone | 920-364-3600 |
| Mailing address | 3 Neenah Ctr, Neenah, WI 54956 |
| Enumerated | August 19, 2006 |
| Last updated | October 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 36739 (WI) |
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | 36739 (WY) |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | 36739 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.