Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tadge M Kanjo, M.D.

Surgery Physician in Evanston, WY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710970058

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Tadge M Kanjo

Credential M.D.

Sex Male

Practice address 196 Arrowhead Dr, Suite 6, Evanston, WY, 82930

Phone (307) 783-8398

Fax (307) 783-8399

Enumeration date Aug 23, 2005

Last updated in NPPES Sep 12, 2012

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 41467-020 (WI) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 41467-020 (WI) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License TL1909 (WY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
33338100	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Tadge Kanjo's NPI record?

Cross-check NPI 1710970058 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1710970058 active?

Yes, as of the latest NPPES snapshot, NPI 1710970058 is active (record last updated 2012-09-12).

Other providers at this practice address

Browse all →

David Segarra Internal Medicine Physician · Evanston, WY NPI 1538164413 Karrie Knopf Family Medicine Physician · Evanston, WY NPI 1487659371 Edmund Nowicki Family Medicine Physician · Evanston, WY NPI 1902801897 Paul Gustafson Surgery Physician · Evanston, WY NPI 1528033644 Bear River Surgical Clinic Inc Surgery Physician · Evanston, WY NPI 1447217377 Uinta Ear, Nose & Throat, PC Otolaryngology Physician · Evanston, WY NPI 1225255094 Evanston Surgical Center LLC Surgery Physician · Evanston, WY NPI 1003081522 Amanda Barnes Physician Assistant · Evanston, WY NPI 1841435385

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-12.