Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay Charles Lick, DO

Individual provider Family Medicine Physician · NPI 1609978808

Dr. Jay Charles Lick, DO is an Obstetrics/Gynecology in Madison, Wisconsin. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2000, 26 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Arizona, Missouri and Wisconsin.

Years since qualifying
26
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
AZ, MO, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2402 Winnebago St
Madison, WI 53704-5341
Phone: (608) 242-6840
Fax: (608) 245-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 53723 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 53723 (WI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 005103 (AZ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2005041214 (MO)

Record details

NPI number1609978808
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2000 (26 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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