TADGE M KANJO M.D.
NPI 1710970058
Surgery in Evanston, WY

NPI Status: Active since August 23, 2005

Contact Information

196 ARROWHEAD DR
SUITE 6
EVANSTON, WY
ZIP 82930
Phone: (307) 783-8398
Fax: (307) 783-8399

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  • Individual
  • Male
  • Surgery

About TADGE KANJO

This page provides the complete NPI Profile along with additional information for Tadge Kanjo, a provider established in Evanston, Wyoming with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1710970058 assigned on August 2005. The practitioner's primary taxonomy code is 208600000X with license number TL1909 (WY). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1710970058
Provider Name
TADGE M KANJO M.D.
Gender
Male
Entity Type
Individual
Location Address
196 ARROWHEAD DR SUITE 6 EVANSTON, WY 82930
Location Phone
(307) 783-8398
Location Fax
(307) 783-8399
Mailing Address
196 ARROWHEAD DR SUITE 6 EVANSTON, WY 82930
Mailing Phone
(307) 783-8398
Mailing Fax
(307) 783-8399
Is Sole Proprietor?
No
Enumeration Date
08-23-2005
Last Update Date
09-12-2012
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A surgeon like Tadge Kanjo treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
TL1909
License State
WY
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

41467-020 (WI)
2208600000XAllopathic & Osteopathic Physicians

Surgery

41467-020 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
33338100MEDICAID (05)WI 
H22053MEDICARE UPIN (02) 
22235MEDICARE ID-TYPE UNSPECIFIED (04)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710970058
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201870010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 7 + 0 + 0 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1710970058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538164413 DAVID SEGARRA MD
Individual
Internal Medicine196 ARROWHEAD DR STE 2
EVANSTON, WY 82930
(866) 427-0764
1487659371 KARRIE L KNOPF PA-C
Individual
Family Medicine196 ARROWHEAD DR STE 1
EVANSTON, WY 82930
(307) 783-8123
1902801897 EDMUND NOWICKI MD
Individual
Family Medicine196 ARROWHEAD DR STE 1
EVANSTON, WY 82930
(877) 892-9701
1528033644 PAUL T. GUSTAFSON D.O.
Individual
Surgery196 ARROWHEAD DR STE 9
EVANSTON, WY 82930
(307) 783-8280
1447217377BEAR RIVER SURGICAL CLINIC INC
Organization
Surgery196 ARROWHEAD DR SUITE #8
EVANSTON, WY 82930
(307) 789-1390
1003081522EVANSTON SURGICAL CENTER LLC
Organization
Surgery196 ARROWHEAD DR SUITE 8
EVANSTON, WY 82930
(307) 789-1390
1841435385 AMANDA M BARNES PA
Individual
Physician Assistant196 ARROWHEAD DR SUITE 8
EVANSTON, WY 82930
(307) 789-1390
1871733238PILOT BUTTE DERMATOLOGY, L.C.
Organization
Specialist196 ARROWHEAD DR SUITE 5
EVANSTON, WY 82930
(877) 689-0005
1063708592BEAR RIVER UROLOGY, LLC
Organization
Urology196 ARROWHEAD DR SUITE #4
EVANSTON, WY 82930
(307) 789-8721
1437434354CARVER FAMILY HEALTH, LLC
Organization
Nurse Practitioner (Family)196 ARROWHEAD DR SUITE #4
EVANSTON, WY 82930
(307) 789-8721
1629342068 GALE MCGUIRE
Individual
Licensed Practical Nurse196 ARROWHEAD DR STE 6
EVANSTON, WY 82930
(307) 789-4224
1821345604 ANN STODDARD
Individual
Community Health Worker196 ARROWHEAD DR STE 2
EVANSTON, WY 82930
(307) 789-4224
1619237625TADGE KANJO GENERAL SURGERY LLC
Organization
Surgery196 ARROWHEAD DR SUITE 6
EVANSTON, WY 82930
(307) 783-8361
1457614331DR. CAL LEE MORROW M.D.
Individual
Family Medicine196 ARROWHEAD DR SUITE 1
EVANSTON, WY 82930
(307) 783-8123
1457725988AURALCARE HEARING CENTERS OF AMERICA, LLC
Organization
Clinic/Center (Hearing and Speech)196 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8195
1225255094UINTA EAR, NOSE & THROAT, PC
Organization
Otolaryngology196 ARROWHEAD DR SUITE 5
EVANSTON, WY 82930
(307) 783-8364

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710970058, enumerated in the NPI registry as an "individual" on August 23, 2005

The provider is located at 196 Arrowhead Dr Suite 6 Evanston, Wy 82930 and the phone number is (307) 783-8398

The provider's speciality is Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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