OrganizationActive
Tadge Kanjo General Surgery LLC
NPI 1619237625 · Surgery Physician · Evanston, WY
Tadge Kanjo General Surgery LLC is a Surgery Physician organization in Evanston, WY (NPI 1619237625).
Provider details
- NPI number
- 1619237625
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tadge Kanjo, Sole Mbr(505) 246-6910
- License
- MD2012-0060 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
196 Arrowhead Dr
Suite 6
Evanston, WY 82930-8752
Phone: (307) 783-8361
Fax: (307) 783-8399
Street-level locationGet directions
Mailing address
196 Arrowhead Dr
Evanston, WY 82930-8752
Other names (DBA / former)
- Doing business as
- Atomic City Surgery
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2013-04-30
Frequently asked questions
- What is Tadge Kanjo General Surgery LLC's NPI number?
- Tadge Kanjo General Surgery LLC's National Provider Identifier (NPI) is 1619237625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tadge Kanjo General Surgery LLC?
- Tadge Kanjo General Surgery LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tadge Kanjo General Surgery LLC located?
- Tadge Kanjo General Surgery LLC's practice location on file with NPPES is 196 Arrowhead Dr, Evanston, WY 82930-8752.
- What is Tadge Kanjo General Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Tadge Kanjo General Surgery LLC is (307) 783-8361.
- Who is the authorized official for Tadge Kanjo General Surgery LLC?
- The authorized official listed on Tadge Kanjo General Surgery LLC's NPPES record is Tadge Kanjo, Sole Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tadge Kanjo General Surgery LLC's NPI active?
- Yes — Tadge Kanjo General Surgery LLC's NPI (1619237625) is active in the NPPES registry as of the last update on 2013-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.