Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710970058 Individual Practitioner Male Practitioner

Dr. Tadge M Kanjo , MD

Surgery • Evanston, WY

Professional Overview & Biography Verified Profile Summary

Dr. Tadge Kanjo, MD is a registered healthcare professional specializing in Surgery in Evanston, WY. Practice services are available at 196 ARROWHEAD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

196 Arrowhead Dr
Suite 6

Evanston, WY 829308752

Telephone 3077838398
Fax 3077838399
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Evanston, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Evanston, WY (74 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WY TL1909

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License WI 41467-020

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 41467-020

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33338100 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. David Harbrecht , MD

Otolaryngology - Otolaryngic Allergy

NPI 1245312784

Doctor of Medicine (M.D.)

Dr. Cal Morrow , MD

Family Medicine

NPI 1457614331

Doctor of Medicine (M.D.)

Karrie Knopf , PA-C

Family Medicine

NPI 1487659371

Physician Assistant (Certified)

NPI 1528033644

Doctor of Osteopathic Medicine (D.O.)

Dr. David Segarra , MD

Internal Medicine

NPI 1538164413

Doctor of Medicine (M.D.)

Gale Mcguire

Licensed Practical Nurse

NPI 1629342068

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2012

Registered at 196 ARROWHEAD DR, SUITE 6, EVANSTON, WY 829308752 (Tel: 3077838398)

📍
Updated Business Mailing Address September 12, 2012

Registered at 196 ARROWHEAD DR, SUITE 6, EVANSTON, WY 829308752 (Tel: 3077838398)

👤
Provider Name / Credentials Updated September 12, 2012

Recorded as TADGE KANJO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Specialist (License #41467-020 in WI)

🟢
Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710970058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2005
Last Update: September 12, 2012
Sole Proprietor: No

Mailing Address

196 Arrowhead Dr, Suite 6

Evanston, WY 829308752

Phone: 3077838398

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.