Active NPI
Michael K Tonne, PA
- Medical Physician Assistant
- Woodruff, WI
National Provider Identifier
1144259409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 580-023
- Practice address
- 240 Maple St
Woodruff, WI 54568-0470 - Phone
- (715) 356-8000
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 580-023 | WI | Primary |
Addresses
Primary practice location
240 Maple St
Woodruff, WI 54568-0470
Mailing address
240 Maple St
PO Box 470
Woodruff, WI 54568-0470
Phone (715) 356-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42923700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580-023 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144259409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MAPLE ST",
"address_2": "PO BOX 470",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "545680470",
"telephone_number": "715-356-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAPLE ST",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "545680470",
"telephone_number": "715-356-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONNE",
"first_name": "MICHAEL",
"middle_name": "K",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "580-023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42923700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, WI
- The Howard Young Medical Center, Inc.
- The Howard Young Medical Center, Inc. (Howard Young Medical Center - Crna)
- Pamela J Thul-Immler, NURSE PRACTITIONER
- Maria Tillman, M.D.
- Angelene K Timmerman, CRNA
- Total Renal Care Inc (Northern Star Dialysis)
- Adam Martin Ungerer, PHARM.D.
- Jennifer A Vojta, ATC
- Julie M Vonderhoff Sr., LCSW
- Jennifer K Wahlstrom, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.