Timothy Joseph Zelko, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

24876-021 Issued in WI

Practice address

9916 75TH St
Suite 200
Kenosha, WI 53142-7583

Phone

(262) 697-7750

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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.

• Womens Wellness

  • Obstetrics & Gynecology Physician
  • Kenosha, WI
  • NPI 1447437819

  Obstetrics & Gynecology

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154443174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S FANCHER RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063013",
            "telephone_number": "262-909-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "address_2": "SUITE 200",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-697-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELKO",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "24876-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30022900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noel Zanotti, SLP
• Bridget Desiree Zanzucchi, RN
• Kaitlin Zarletti, PHARMD
• Terry Zehr, MD
• Michael H Zeihen, MD
• Ann Zeman, PTA
• Zenith Healthcare SC
• Tara Lyn Zerzanek, PHARMD
• Christina Marie Zhang
• Alice Zheng

• All providers in Kenosha, WI
• Obstetrics & Gynecology Physician in Wisconsin

• 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.

Verify at the official NPI Registry.