Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cornelius W Hyzer Jr., MD

Individual provider Family Medicine Physician · NPI 1275933418

Cornelius W Hyzer Jr., MD is a Family Practice in Shawano, Wisconsin. Graduated from University of Utah School of Medicine in 2013, 13 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Trained at
University of Utah School of Medicine
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 526-3461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 62809-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 62809-20 (WI)

Record details

NPI number1275933418
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2014
Last updated in NPPESJuly 18, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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