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

Jason S So, DO

Individual provider Family Medicine Physician · NPI 1508078643

Jason S So, DO is a Family Practice in Lake Geneva, Wisconsin. Qualified in 2005, 21 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
21
Licensed in
IL, WI
In the registry since
2007
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

350 Peller Rd
Lake Geneva, WI 53147-4543
Phone: (262) 245-0221
Fax: (262) 249-0633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 63015-21 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036119919 (IL)

Record details

NPI number1508078643
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 29, 2019
Mailing address350 Peller Rd, Lake Geneva, WI 53147-4543

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Geneva