Provider Demographics
NPI:1134859267
Name:JAEGER, JOHN WESTON (DPM)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WESTON
Last Name:JAEGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 SUNSET DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-1369
Mailing Address - Country:US
Mailing Address - Phone:515-981-1584
Mailing Address - Fax:515-864-0738
Practice Address - Street 1:1327 SUNSET DR STE 300
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-1369
Practice Address - Country:US
Practice Address - Phone:515-981-1584
Practice Address - Fax:515-864-0738
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132187213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery