Individual provider Active NPI

Darin Dean Damstra, MD

  • Diagnostic Radiology Physician
  • La Crosse, WI
National Provider Identifier
1558503102
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53470 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Mar 28, 2009
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38656 IA
Diagnostic Radiology Physician 2085R0202X 52431 MN
Diagnostic Ultrasound Physician 2085U0001X MT183566 PA
Diagnostic Radiology Physician 2085R0202X 53470 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091029000022 IA Practitioner - Diagnostic Radiology 6901943679 Reassigns benefits to 4 organizations
I20100116000285 WI Practitioner - Diagnostic Radiology 6901943679 Reassigns benefits to 14 organizations
I20100325001086 MN Practitioner - Diagnostic Radiology 6901943679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Health Services IncGroup PAC ID 3971586439, 71 clinicians
Tri-County Memorial Hospital IncGroup PAC ID 4587642418, 75 clinicians
Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians
Gundersen Clinic LTDGroup PAC ID 9638082779, 422 clinicians
Vernon Memorial Healthcare IncGroup PAC ID 8325958416, 73 clinicians
Black River Health IncGroup PAC ID 3173431178, 62 clinicians

Practice addresses (Care Compare)

110 King St
Fayette, IA 52142-9735
Phone (563) 425-3381

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

1910 S Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300

2575 S 7TH St
Bethany Riverside
La Crosse, WI 54601-5429
Phone (608) 775-8200

40 1St St SE
Waukon, IA 52172-2022
Phone 5635683411524

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

402 A W Lake St
Friendship, WI 53934-9699
Phone (608) 339-8471

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

50 N 4TH St
Lansing, IA 52151-7729
Phone (563) 538-4874

505 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-4111

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

610 E Taylor St
PR Du Chien, WI 53821-2109
Phone (608) 326-6466

705 Arena Dr
Viroqua, WI 54665-2059
Phone (608) 637-4362

711 W Adams St
Black River Falls, WI 54615-5052
Phone (715) 284-5361

711 W Adams St
Black River Falls, WI 54615-9108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT183566PAMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Jan 26, 2010 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 21, 2009 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Mar 1, 2021 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jul 1, 2022 Accepting new patients
Black River Health Inc CurrentSince Jan 26, 2010 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 26, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 1, 2013 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jul 1, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 1, 2012 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 21, 2009 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Aug 1, 2010 Accepting new patients
Gundersen Clinic LTD CurrentSince Nov 23, 2009 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jun 1, 2019 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Jul 7, 2011 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 1, 2012 Accepting new patients
Black River Health Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 23, 2009 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 1, 2013 Accepting new patients
St. Joseph's Health Services, Inc CurrentSince Jul 7, 2011 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince May 1, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Mar 1, 2021 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1558503102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSTRA",
        "first_name": "DARIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-28",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "38656",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "52431",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PA",
            "license": "MT183566",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "53470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.