NPIMap

Individual provider Active NPI

William K Tordzro, MD

  • Emergency Medicine Physician
  • Ripon, WI
National Provider Identifier
1780688317
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67166 Issued in WI
Practice address
845 Parkside St
Ripon, WI 54971-8505
Phone
(580) 323-8460
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26433 OK
Emergency Medicine Physician 207P00000X 67166 WI Primary

Addresses

Primary practice location

845 Parkside St
Ripon, WI 54971-8505

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-8340

Other identifiers 1

IdentifierTypeStateIssuer
02100289MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090127000318 OK Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 7911892302 Reassigns benefits to 8 organizations
I20170623000253 WI Practitioner - Emergency Medicine 7911892302 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Icahn School of Medicine at Mount Sinai, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Care Consultants IncGroup PAC ID 9032131735, 27 clinicians

Practice addresses (Care Compare)

213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone (918) 774-1100

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

Hospital & facility affiliations

  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328
  • Sequoyah County-City of Sallisaw Hospital Authorit Hospital, Sallisaw, OK, CCN 370112
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Aspirus Tomahawk Hospital Hospital, Tomahawk, WI, CCN 521313
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67166WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbuckle Memorial Hospital CurrentSince Jun 30, 2023 Accepting new patients
Rokem, LLC Emergency Medicine CurrentSince Aug 20, 2023 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 7, 2019 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Apr 4, 2017 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Emergency Physicians of Midwest City, LLC Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Jun 30, 2023 Accepting new patients
Midwest Hospitalist Group PLLC CurrentSince Oct 1, 2020 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 7, 2019 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 4, 2017 Accepting new patients
Ies Oklahoma LLC Emergency Medicine CurrentSince Dec 10, 2024 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Aug 26, 2025 Accepting new patients
Hospital Care Consultants, Inc Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Parkview Hospital Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients
William Kwabena Tordzro MD PLLC Family Medicine PastSince Jan 1, 2009 Accepting new patients
Clinton Hma, LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

Dept 1467
Tulsa, OK 74182

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780688317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354560",
            "telephone_number": "920-926-8340",
            "fax_number": "920-926-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 PARKSIDE ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549718505",
            "telephone_number": "580-323-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORDZRO",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26433",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "67166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02100289",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

Verify at the official NPI Registry.