DR. KATHRYN R TRANDEM MD PHD NPI 1053674770

NPI Information

NPI: 1053674770
Provider Name: DR. KATHRYN R TRANDEM, MD, PHD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
205 PARKER ST
BOSCOBEL, WI
ZIP 53805
Phone: (608) 375-4112
Get Directions

DR. Kathryn R Trandem, MD, PHD is an urology in Boscobel, WI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Kathryn R Trandem, MD, PHD NPI is 1053674770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 PARKER ST
BOSCOBEL, WI
ZIP 53805-642
Phone: (608) 375-4112

The NPI 1053674770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 4/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		036.154905	ILLINOIS	No
2	2088P0231X	Urology	Pediatric Urology	73669	WISCONSIN	No
3	208800000X	Urology		73669	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1053674770	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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