Northern Wisconsin Bone & Joint Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHERN WISCONSIN BONE & JOINT CENTER

Practice address

7520 US Highway 51 S
Ste a
Minocqua, WI 54548-8944

Phone

(715) 358-1911

Fax

(715) 358-6158

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Kevin L Tadych, M.D.

Title

President

Phone

(715) 358-1911

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doris L Ruder, APNP

  • Nurse Practitioner
  • Minocqua, WI
  • NPI 1649341454
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1922179696",
    "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": "545488944",
            "telephone_number": "715-358-1911",
            "fax_number": "715-358-6158"
        },
        {
            "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": "545488944",
            "telephone_number": "715-358-1911",
            "fax_number": "715-358-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WISCONSIN BONE & JOINT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "TADYCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-358-1911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21298800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NUMBER",
            "identifier": "1052540001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolanta B. Mroz, MD
• Colleen Ann Mueller, APNP
• Dean Thomas Munnell, MD
• Trudy Munson, DTR
• John G Nemcek, MD
• Northland Hearing Centers, Inc. (Hearing Advantage)
• Northland Podicare LTD.
• Northwoods Oral and Maxillofacial Surgery SC
• Ann Novak
• Blain E. Nyberg, R.PH.

• 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 Feb 18, 2013; 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.