Individual provider Active NPI

Daniel E Tvedten, M.D.

  • Orthopaedic Surgery Physician
  • Rhinelander, WI
National Provider Identifier
1003979030
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G51428 Issued in WI
Practice address
444 E Timber Dr
Rhinelander, WI 54501-2852
Phone
(715) 369-2300
Fax
(715) 369-2482
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G51428 WI Primary

Addresses

Primary practice location

444 E Timber Dr
Rhinelander, WI 54501-2852

Mailing address

444 E Timber Dr
Rhinelander, WI 54501-2852
Phone (715) 369-2300

Other identifiers 1

IdentifierTypeStateIssuer
32339000MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtvedten11600@direct.monroeclinic.org Direct Tomah Memorial Hospital Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51428WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Tomah Memorial Hospital Inc Orthopaedic Surgery CurrentSince Jan 1, 2018 Accepting new patients
Mile Bluff Medical Center Inc Orthopaedic Surgery CurrentSince Jan 1, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

444 E Timber Dr
Rhinelander, WI 54501
Phone (715) 369-2300

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: dtvedten634307@direct.emplifyhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1003979030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012852",
            "telephone_number": "715-369-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012852",
            "telephone_number": "715-369-2300",
            "fax_number": "715-369-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVEDTEN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "G51428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32339000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtvedten11600@direct.monroeclinic.org",
            "affiliation": "Y",
            "affiliationName": "Tomah Memorial Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dtvedten11600@direct.monroeclinic.org",
            "address_1": "501 Gopher Dr",
            "city": "Tomah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546604513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.