Tadge M. Kanjo, M.D.
NPI 1710970058ActiveIndividual· Surgery· Evanston, WY
Surgery (M.D.) in Evanston, Wyoming, licensed in WY and WI, with an NPI issued in August 2005.
Overview
| NPI | 1710970058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 23, 2005 |
| Last updated in NPPES | Sep 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | TL1909 | WY |
| Specialist | 174400000X | 41467-020 | WI |
| Surgery | 208600000X | 41467-020 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Evanston
- 1447217377
- 1003081522
- 1619237625
- 1255562690
- 1144328949
- 1528033644
- 1902126824
- 1841391349