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

Mr. Nicholas Suydam, MS, PA-C, ATC

Individual provider Surgical Physician Assistant · NPI 1669837381

Mr. Nicholas Suydam, MS, PA-C, ATC is a Physician Assistant in Madison, Wisconsin. Qualified in 2015, 11 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone: (608) 252-8000
Fax: (608) 288-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7885-23 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1669837381
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PA-C , ATC
Sole proprietorNo
NPI enumeratedDecember 22, 2015
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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