Lakeshore Veins S. C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKESHORE VEINS S. C.

Practice address

1361 W Towne Square Rd
Mequon, WI 53092-5047

Phone

(262) 241-3999

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Anne K Bartel, M.D.

Title

Owner

Phone

(262) 241-3999

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lakeshore Veins2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeshore Veins S. C.

  • Diagnostic Radiology Physician
  • Mequon, WI
  • NPI 1992135925
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne E Bartel, M.D.

  • Diagnostic Radiology Physician
  • Mequon, WI
  • NPI 1467443887
  NPD
• Theresa M Quinn, M.D.

  • Surgery Physician
  • Menomonee Falls, WI
  • NPI 1821040528
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1417495169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-241-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-241-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE VEINS S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "BARTEL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-241-3999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3261440",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen E Lachapell, MS, GNP-BC, APNP
• Luke Laga
• Lakeshore Eye Care Professionals, S.C.
• Lakeshore Medical Clinic
• Lakeshore Psychology Services LLC
• Lakeshore Veins S. C.
• Angela M Lancaster, NP
• Ryan Landvatter
• Lisa Lang, MS, ATRL-BC
• Kylie Lange

• Specialist in Mequon, WI
• Providers in Mequon, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.