TERRENCE WAYNE TATARCHUK MD NPI 1073583316

NPI Information

  • NPI: 1073583316
  • Provider Name: TERRENCE WAYNE TATARCHUK, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 8795 PINE RIDGE DR
    SUITE B
    CADILLAC, MI
    ZIP 49601
  • Phone: (231) 775-1306

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NPI Details

Terrence Wayne Tatarchuk, MD is a surgery in Cadillac, MI. The provider is 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. Terrence Wayne Tatarchuk, MD NPI is 1073583316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8795 PINE RIDGE DR
SUITE B
CADILLAC, MI
ZIP 49601-777
Phone: (231) 775-1306
Fax: (231) 775-9701

The enumeration date for this NPI number is 1/26/2006 and was last updated on 2/23/2010.

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
1208600000XSurgery4301039879MICHIGANYes

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
1P26654FOTHERMICHIGANBLUE CARE NETWORK
20M88610MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
301279OTHERMICHIGANPRIORITY HEALTH
4B44609MEDICARE UPIN
5209380410MEDICAIDMICHIGAN
6M009095OTHERMICHIGANTRICARE
7791022506MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRAILROAD
80208309261OTHERMICHIGANBLUE CROSS BLUE SHIELD
9103633OTHERMICHIGANPREFERRED CHOICES

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: 11/21/2025

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