Dr. Zachary Robert Laste
Radiology (Diagnostic Radiology)

Address: 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522
Phone: 4148053750

Dr. Zachary Robert Laste (NPI# 1417243866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1417243866
Entity Type Individual
Full Name Dr. Zachary Robert Laste
Credential M.D.
Gender Male
Practice Address 9200 W Wisconsin Ave
Department of Radiology
Milwaukee
WI 53226-3522
Practice Telephone 4148053750
Practice Fax Number 4142509290
Mailing Address 9200 W Wisconsin Ave
Department of Radiology
Milwaukee
WI 53226-3522
Mailing Telephone 4148053750
Mailing Fax Number 4142509290
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-06-23
Last Update Date 2016-06-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 59922 WI

Physician Overview

NPI 1417243866
PAC ID by PECOS 3678862596
Professional Enrollment ID I20160517000989
Full Name Zachary R Laste
Organization Legal Name THE MEDICAL COLLEGE OF WISCONSIN INC
Phone Number 4148050505
Gender M
Medical School MEDICAL COLLEGE OF WISCONSIN
Graduation Year 2011
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY
Group Practice PAC ID 2668384371
Number of Group Practice Members 1480
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520177 FROEDTERT MEMORIAL LUTHERAN HOSPITAL
520103 COMMUNITY MEMORIAL HOSPITAL
520063 ST JOSEPHS COMMUNITY HOSPITAL WEST BEND

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245538636 Moira Ferrier Schieke Radiology 2542 N Terrace Ave, Milwaukee, WI 53211-3820 2011-03-09
1811127558 Michael Orrin Griffin Jr. Radiology 9200 W. Wisconsin Ave., Department of Radiology, Milwaukee, WI 53226 2009-07-15
1568649168 Michael John Moser Radiology 3174 S 31st St, Milwaukee, WI 53215-4320 2008-01-25
1598949026 Deidre Meredith Rippl Radiology 2900 Oklahoma Ave, Milwaukee, WI 53215 2007-12-19
1053510115 Petre Iosif Wecsler Radiology 7019 N Barnett Ln, Milwaukee, WI 53217-3606 2007-07-17
1285858019 William Thomas Luckey Radiology 1545 W Spruce Ct, Milwaukee, WI 53217-1128 2007-04-12
1407957491 Ferdinand M Brutvan Radiology 1925 E Iron St, Milwaukee, WI 53207-2315 2006-09-25
1760416994 Enhanced Medical Imaging Milwaukee LLC Radiology 7523 W Oklahoma Ave, Milwaukee, WI 53219-2861 2006-07-11
1386690295 John P Matsis Radiology 10400 W North Ave, Suite 300, Milwaukee, WI 53226-2425 2006-05-25
1184673964 Pediatric Radiologic Services Sc Radiology 9000 West Wisconsin Avenue, Milwaukee, WI 53201 2006-05-09
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Office Location

Street Address 9200 W WISCONSIN AVE
DEPARTMENT OF RADIOLOGY
City MILWAUKEE
State WI
Zip Code 53226-3522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265635999 Kanav Sharma Internal Medicine 9200 W Wisconsin Ave, Department of Internal Medicine, Milwaukee, WI 53226-3522 2007-06-08
1215583976 Jennifer Stanisch Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-08-16
1558917724 Rebecca Swearingen Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-08-14
1295389914 Rachel Betthauser Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-07-31
1386297588 Lauren Caruso Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 532263522 2019-07-17
1467005611 Teresa Romano Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 532263522 2019-07-17
1750934055 Allison Brooke Slattery Physical Therapist 9200 W Wisconsin Ave, Milwaukee, WI 532263522 2019-07-17
1235782475 Craig Schutta Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 532263522 2019-07-17
1265084636 Joseph Jay Verroya Baron Jr. Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-07-15
1588216345 Samantha Bergesen Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1790246197 Melissa Drezdzon Surgery 8701 Watertown Plank Road, Department of Surgery, Milwaukee, WI 53226 2019-03-28
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
1346700333 Dustin Jon Richter Student in an Organized Health Care Education/Training Program 8701 W. Watertown Plank Road, Department of Orthopaedic Surgery Mcw - Hub, Milwaukee, WI 53226 2019-03-25
1619438553 Ally Care Agency LLC In Home Supportive Care 9730 W Bluemound Rd, Suite 23a, Wauwatosa, WI 53226 2019-03-25
1093297467 Carmen Rebecca Britton Behavior Analyst 543 N. 93rd Street, Milwaukee, WI 53226 2018-09-03
1992286074 Rprd Diagnostics LLC Clinical Medical Laboratory 1225 Discovery Parkway, Suite 260, Milwaukee, WI 53226 2018-08-27
1710464904 Ashley Lazar Dentist 9200 W Wisconsin, Cfac 5th Floor, Milwaukee, WI 53226 2018-07-20
1417433418 Aimee Kohn Behavior Analyst 2645 N Mayfair Rd Ste 130, Milwaukee, WI 53226 2018-07-13
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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