Lake Country Cardiovascular Associates LTD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LAKE COUNTRY CARDIOVASCULAR ASSOCIATES LTD

Practice address

385 Williamstowne
Delafield, WI 53018-2323

Phone

(262) 646-3058

Fax

(262) 646-3002

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Christopher J Ostromecki, M.D.

Title

President

Phone

(262) 646-3058

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1831180371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 WILLIAMSTOWNE",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182323",
            "telephone_number": "262-646-3058",
            "fax_number": "262-646-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY CARDIOVASCULAR ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "OSTROMECKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-646-3058",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21253200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carrie Jo Klay, P.T.A.
• Mark R Knutson, DDS
• Emily Kolaga, PT, DPT, CSCS, CKTP
• Mary Krienke, PT
• Lake Country Fire & Rescue
• Lake Country Health Center, SC
• Jennifer L Larsen, LPC
• Latched Lake Country LLC
• Jared Gregory Latus, PHARMD

• Cardiovascular Disease Physician in Delafield, WI
• Providers in Delafield, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.