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

Ted Kubiak, PAC

Individual provider Medical Physician Assistant · NPI 1497707954

Ted Kubiak, PAC is a Medical Physician Assistant in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4122 E Towne Blvd
Madison, WI 53704
Phone: (608) 242-6865
Fax: (608) 242-6848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 314 (WI)

Record details

NPI number1497707954
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJanuary 14, 2015
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

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