Northern Wisconsin Bone & Joint

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHERN WISCONSIN BONE & JOINT

Practice address

601 S 7TH St
Ontonagon, MI 49953-1448

Phone

(715) 358-1911

Fax

(715) 358-1912

NPI assigned

Apr 13, 2010

Last updated

Apr 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Lee Tadych, M.D.

Title

President/Owner

Phone

(715) 358-1911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1104142330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 HWY 51 S",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488943",
            "telephone_number": "715-358-1911",
            "fax_number": "715-358-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 7TH ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531448",
            "telephone_number": "715-358-1911",
            "fax_number": "715-358-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WISCONSIN BONE & JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "TADYCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "715-358-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kaiponen
• Colleen Marie Lundgren, PTA
• Eric Andrew Maki, M.D.
• Maple Manor Nursing Center, Inc
• Suzanne J Miron, NP-C
• Rachel Marie Nowicki
• Jacek Olszewski, PT
• Ontonagon Community Health Center
• Michelle Outwater, OTR
• Brittany Ann Penegor, OTR/L

• Orthopaedic Surgery Physician in Ontonagon, MI
• Providers in Ontonagon, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.