Healthcare Provider Details

I. General information

NPI: 1285696104
Provider Name (Legal Business Name): JEFFREY J. ORYALL PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SCIENCE COURT
MADISON WI
53711-1088
US

IV. Provider business mailing address

2818 SUNFLOWER DR
FITCHBURG WI
53711-7634
US

V. Phone/Fax

Practice location:
  • Phone: 608-231-3410
  • Fax: 608-231-3430
Mailing address:
  • Phone: 608-279-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1472-23
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1472-023
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number1472-023
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: