Active NPI
Stephen F. Laga, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pleasant Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100547550 | Medicaid | KY | |
| 300004274 | Medicaid | IN | |
| 036060826 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300
Hospital & facility affiliations
- Froedtert South Inc.
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49773 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 2023009417 | MO | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital Inc | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | 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
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- 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.
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Specialist
- Mountain Home, AR
- NPI 1841437175
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
- Family Medicine Physician
- Mountain Home, AR
- NPI 1316777329
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Elmhurst, IL
- NPI 1104046036
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.