Raymond Zastrow MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28127 Issued in WI

Legal business name

RAYMOND ZASTROW MD SC

Practice address

6735 W Bradley Rd
Milwaukee, WI 53223

Phone

(414) 354-3300

Fax

(262) 784-5472

NPI assigned

Jun 19, 2006

Last updated

Jul 31, 2018By 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

Dr. Raymond Zastrow, MD

Title

Owner

Phone

(414) 354-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1821033226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 N RIVER RIDGE DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922755",
            "telephone_number": "414-354-3300",
            "fax_number": "262-784-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53223",
            "telephone_number": "414-354-3300",
            "fax_number": "262-784-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND ZASTROW MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-354-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30776800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Christine Ray, PHARM.D., BCPS
• Vani Ray, MD
• Lalitha Rayan, MD
• Rawad Rayes, MD
• Raymond W. Moy MD SC
• Alencia Marie Raymond
• Amanda Raymond
• John R Raymond Sr., MD
• Mary Kathryn Raymond, LPN
• Yonatan Raymond, RN

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.