Lakeshore Veins S. C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

38291 Issued in WI

Legal business name

LAKESHORE VEINS S. C.

Practice address

1361 W Towne Square Rd
Mequon, WI 53092-5047

Phone

(262) 787-4050

NPI assigned

Nov 12, 2013

Organization subpart

No

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

Authorized official

Name

Anne E Bartel, M.D.NPI 1467443887

Title

Authorized Representative

Phone

(262) 787-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Lakeshore Veins2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeshore Veins S. C.

  • Specialist
  • Mequon, WI
  • NPI 1417495169
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne E Bartel, M.D.

  • Diagnostic Radiology Physician
  • Mequon, WI
  • NPI 1467443887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1992135925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-241-3999",
            "fax_number": "262-241-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-787-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE VEINS S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "BARTEL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "262-787-4050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "38291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32614400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Laga
• Lakeshore Eye Care Professionals, S.C.
• Lakeshore Medical Clinic
• Lakeshore Psychology Services LLC
• Lakeshore Veins S. C.
• Angela M Lancaster, NP
• Ryan Landvatter
• Lisa Lang, MS, ATRL-BC
• Kylie Lange
• Allen D Langeberg, D.D.S.

• Diagnostic Radiology Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.