Active NPI
Michael J Lasser, MD
- Obstetrics & Gynecology Physician
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35601
- Practice address
- 11211 W Lincoln Ave
Lincoln Avenue Clinic
West Allis, WI 53227-1035 - Phone
- (414) 456-5900
- Fax
- (414) 327-7639
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35601 | WI | Primary |
Addresses
Primary practice location
11211 W Lincoln Ave
Lincoln Avenue Clinic
West Allis, WI 53227-1035
Mailing address
11211 W Lincoln Ave
Lincoln Avenue Clinic
West Allis, WI 53227-1035
Phone (414) 456-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598716342 | Medicaid | WI | |
| 32371000 | Medicaid | WI | |
| 002000217M | Other | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Sanford School of Medicine of University of South Dakota, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (864) 908-3530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35601 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Obhg Wisconsin, S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
11211 W Lincoln Ave
West Allis, WI 53227
Phone (414) 454-8300
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ob Hospitalist Group
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1699273862
WI
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1598716342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 W LINCOLN AVE",
"address_2": "LINCOLN AVENUE CLINIC",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532271035",
"telephone_number": "414-456-5900",
"fax_number": "414-327-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 W LINCOLN AVE",
"address_2": "LINCOLN AVENUE CLINIC",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532271035",
"telephone_number": "414-456-5900",
"fax_number": "414-327-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSER",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "35601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598716342",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32371000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000217M",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.