Active NPI
Tonu Kiesel, M.D.
- Surgery Physician
- Newcastle, WY
National Provider Identifier
1699103697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17348
- Practice address
- 258 Elk Grove TRL
Newcastle, WY 82701-9794 - Phone
- (307) 746-2035
- NPI assigned
- Oct 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2270A | WY | |
| Surgery Physician | 208600000X | 17348 | MN | Primary |
Addresses
Primary practice location
258 Elk Grove TRL
Newcastle, WY 82701-9794
Mailing address
258 Elk Grove TRL
Newcastle, WY 82701-9794
Phone (307) 746-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17348 | MN | MD | Surgery Physician |
| 2270A | WY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1699103697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 ELK GROVE TRL",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827019794",
"telephone_number": "307-746-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 ELK GROVE TRL",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827019794",
"telephone_number": "307-746-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESEL",
"first_name": "TONU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WY",
"license": "2270A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "17348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newcastle, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.