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MR. SHANE MICHAEL TENDICK MD
NPI 1033963319
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 15, 2024
5000 W CHAMBERS ST, MILWAUKEE, WI 53210(414) 447-2000 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Michael Tendick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE MICHAEL TENDICK MD (NPI 1033963319) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin, licensed in Wisconsin (101208) and active in the NPI registry since April 2024. He maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1033963319
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SHANE MICHAEL TENDICKCredential: MD
Location Address5000 W CHAMBERS STMilwaukee, WI 53210-1650
Mailing Address5000 W Chambers StMilwaukee, WI 53210-1650 · (414) 447-2000
Phone(414) 447-2000
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1033963319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WI · 101208
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5000 W CHAMBERS ST, Milwaukee, WI 53210
Open in Google Maps ↗

Secondary Practice Location 1

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARINA M JACKMAN M.D.
Anesthesiology
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2196
CYNTHIA KLINGBEIL PT
Physical Therapist
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2209
RAHIM MOHAMMADALI PHARMD
Pharmacist (Critical Care)
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-3043
KRISTIN N OTERO PA
Physician Assistant
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2000
LISA HUBBARD CFNP
Nurse Practitioner (Family)
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2000
EMILY SEVERSON
Occupational Therapist
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2209
MRS. ALISA JEAN BURGHER OTR
Occupational Therapist
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2208
MS. CAROLINE E HESS LCSW
Social Worker (Clinical)
5000 W CHAMBERS ST, POB-P-210
MILWAUKEE, WI 53210
Milwaukee County (414) 874-1171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Tendick's NPI number?

The NPI number for Shane Tendick is 1033963319. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Shane Tendick located?

Shane Tendick practices at 5000 W Chambers St, Milwaukee, WI 53210. The listed phone number is (414) 447-2000.

What is Shane Tendick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shane Tendick was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.