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NPISignal

Individual Healthcare Provider

Kathryn R Trandem, MD, PHD

NPI Record: ActiveUrology
NPI1053674770
Boscobel, Wisconsin

Provider's NPPES record last updated: April 5, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1053674770
Primary Specialty
Urology
Practice Location
Boscobel, Wisconsin
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:34 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 208800000X
  • Urology

    Pediatric Urology

    Allopathic & Osteopathic Physicians

    Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

    Taxonomy code 2088P0231X

Provider-Reported License Information

Urology (Wisconsin)
73669
Urology (Illinois)
036.154905
Urology (Wisconsin)
73669
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

205 Parker St

Boscobel, Wisconsin 53805-1642

Phone: (608) 375-4112

Additional Practice Location

9000 W Wisconsin Ave

Milwaukee, Wisconsin 53226-4874

Phone: (414) 266-3794

Fax: (414) 266-1752

Additional Practice Location

2575 E Evergreen Drive

Appleton, Wisconsin 54913-8904

Phone: (920) 969-5353

Fax: (414) 337-7201

Additional Practice Location

1506 S Oneida St Ste 500

Appleton, Wisconsin 54915-1305

Phone: (920) 969-9700

Fax: (920) 969-7979

Additional Practice Location

1675 Dempster St Fl 3

Park Ridge, Illinois 60068-1110

Phone: (847) 297-8700

Fax: (847) 723-9441

Record Information

Enumeration Date
June 18, 2012
Provider's NPPES Record Last Updated
April 5, 2024
Certification Date
April 5, 2024
NPISignal NPPES Dataset
August 2026

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