Individual provider Active NPI

Stephen F. Laga, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pleasant Prairie, WI
National Provider Identifier
1952361818
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
517 Issued in WI
Practice address
9555 76TH St Ste 3880
Pleasant Prairie, WI 53158-1984
Phone
(263) 653-5483
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 49773 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 517 WI Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2023009417 MO

Addresses

Primary practice location

9555 76TH St Ste 3880
Pleasant Prairie, WI 53158-1984

Mailing address

6308 8TH Ave Ste 105
Kenosha, WI 53143-5031
Phone (262) 577-8522

Other practice location 1

1717 Oak Park Blvd
2nd Floor
Lake Charles, LA 70601-8991
Phone (337) 494-3278

Other practice location 2

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-5001

Other practice location 3

1301 Pleasant Valley Rd Ste 201
Owensboro, KY 42303
Phone (270) 417-7500

Other identifiers 3

IdentifierTypeStateIssuer
7100547550MedicaidKY
300004274MedicaidIN
036060826MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, AR3 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
I20160915001159 TX Practitioner - Cardiovascular Disease (Cardiology) 3577617430 Reassigns benefits to 1 organization
I20200526002313 WI Practitioner - Thoracic Surgery 3577617430 Reassigns benefits to 1 organization
I20221128002401 AR Practitioner - Thoracic Surgery 3577617430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Saint Louis University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49773KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2023009417MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Aug 4, 2016 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Nov 1, 2022 Accepting new patients
C H Wilkinson Physician Network CurrentSince Aug 4, 2016 Accepting new patients
CVT Surgeons, LTD. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

628 Hospital Dr
Ste 1-A
Mountain Home, AR 72653
Phone (870) 425-4402

628 Hospital Dr
#E1
Mountain Home, AR 72653
Phone (870) 425-3291

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: slaga89596@direct.owensborohealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1952361818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE STE 105",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-577-8522",
            "fax_number": "262-653-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 76TH ST STE 3880",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581984",
            "telephone_number": "263-653-5483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Oak Park Blvd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018991",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pleasant Valley Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "42303",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGA",
        "first_name": "STEPHEN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "49773",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "517",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2023009417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100547550",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004274",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060826",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

Verify at the official NPI Registry.