Healthcare Provider Details

I. General information

NPI: 1770532442
Provider Name (Legal Business Name): JEFFREY J. SMARRELLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US

IV. Provider business mailing address

8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US

V. Phone/Fax

Practice location:
  • Phone: 608-274-0355
  • Fax: 608-274-4273
Mailing address:
  • Phone: 608-274-0355
  • Fax: 608-274-4273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number47933-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: