Kevin L Tadych, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

29520-020 Issued in WI

Practice address

7520 US Highway 51 S
Ste a
Minocqua, WI 54548-8943

Phone

(888) 444-2873

Fax

(608) 467-1393

NPI assigned

Nov 13, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Northern Wisconsin Bone & Joint Center

  • Orthopaedic Surgery Physician
  • Minocqua, WI
  • NPI 1922179696
  Authorized official Same address or phone
• Northern Wisconsin Bone & Joint

  • Specialist
  • Wausau, WI
  • NPI 1124354345
  NPD (past)
• Northern Wisconsin Bone & Joint

  • Specialist
  • Merrill, WI
  • NPI 1487980603
  NPD (past)
• Northern Wisconsin Bone & Joint Center, LTD

  • Orthopaedic Surgery Physician
  • Rhinelander, WI
  • NPI 1396914214
  NPD (past)
• Northern Wisconsin Bone & Joint Center, LTD

  • Orthopaedic Surgery Physician
  • Eagle River, WI
  • NPI 1548300460
  NPD (past)
• Northern Wisconsin Bone and Joint Center

  • Orthopaedic Surgery Physician
  • Woodruff, WI
  • NPI 1386828549
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1316018823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 US HIGHWAY 51 S",
            "address_2": "STE A",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488943",
            "telephone_number": "888-444-2873",
            "fax_number": "608-467-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 US HIGHWAY 51 S",
            "address_2": "STE A",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488943",
            "telephone_number": "888-444-2873",
            "fax_number": "608-467-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADYCH",
        "first_name": "KEVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "29520-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1052540001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Steffensen, PTA
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• Matthew A Thomas, MD
• Cassandra J. Tiltges, LAT
• Vanessa Jean Tippett, L.AC.

• Orthopaedic Surgery Physician in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.