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TED KUBIAK PAC
NPI 1497707954
Physician Assistant - Medical in Madison, WI

Active since May 16, 2006
4122 EAST TOWNE BLVD, MADISON, WI 53704(608) 242-6865(608) 242-6848 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ted Kubiak Pac NPPES

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

TED KUBIAK PAC (NPI 1497707954) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (314) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1497707954
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTED KUBIAKCredential: PAC
Location Address4122 EAST TOWNE BLVDMadison, WI 53704
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 242-6865
Fax(608) 242-6848
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 14, 2015
✔ NPI 1497707954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 314
4122 EAST TOWNE BLVD, Madison, WI 53704
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Other Providers at the Same Location NPPES 3

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

KIM M KANTOR MD
Pediatrics
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6855
VICTORIA WATTIAUX PA-C
Physician Assistant (Medical)
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6865
WILLIAM F DAVIS MD
Internal Medicine
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6855

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 Ted Kubiak's NPI number?

The NPI number for Ted Kubiak is 1497707954. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Ted Kubiak located?

Ted Kubiak practices at 4122 East Towne Blvd, Madison, WI 53704. The listed phone number is (608) 242-6865.

What is Ted Kubiak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ted Kubiak was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.