The Tayo Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE TAYO CLINIC, INC.

Practice address

325 3Rd St
Menasha, WI 54952-2712

Phone

(920) 267-5576

Fax

(812) 203-5057

NPI assigned

May 8, 2025

Last updated

May 8, 2025By 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

Enrique Pina, RN, M.ED

Title

Executive Director

Phone

(920) 267-5576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1447040928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 W COLLEGE AVE STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143968",
            "telephone_number": "920-267-5576",
            "fax_number": "812-203-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 3RD ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522712",
            "telephone_number": "920-267-5576",
            "fax_number": "812-203-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TAYO CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-267-5576",
        "authorized_official_credential": "RN, M.ED"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Menasha, WI
• Providers in Menasha, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.