KENNETH T BASTIN


Address: 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330
Phone: 4146496420

KENNETH T BASTIN (NPI# 1457393431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457393431
Entity Type Individual
Full Name KENNETH T BASTIN
Credential MD
Practice Address 2900 W Oklahoma Ave
Milwaukee
WI 53215-4330
Mailing Address 11516 N Port Washington Rd
Ste 202
Mequon
WI 53092-3441
Practice Telephone 4146496420
Practice Fax Number 4146495309
Mailing Telephone 2622415040
Mailing Fax Number 2622415261
Enumeration Date 2006-06-12
Last Update Date 2010-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
30541 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 31641500 05

Office Location

Street Address 2900 W OKLAHOMA AVE
City MILWAUKEE
State WI
Zip Code 53215-4330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386640811 Moises A Garcia Internal Medicine 2900 W Oklahoma Ave, 5th Fl, Milwaukee, WI 53215-4330 2005-06-21
1366040883 Amy Lynn Mann Occupational Therapist 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-10-16
1992302616 Taylor A Umpierrez Nurse Practitioner 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-10-06
1831705664 Fauzan Ali Anesthesiologist Assistant 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-09-17
1992318091 Sarah E Gelhaar Nurse Practitioner 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-08-28
1831700483 David J Guerard Nurse Practitioner 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-08-16
1083225767 Melanie M Quella Nurse Practitioner 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-08-14
1740890219 Kathleen Rose Silveira Pharmacist 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-08-08
1245849264 Anna K Coppin Nurse Practitioner 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-07-27
1780209320 Angie Knutson Pharmacist 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2020-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841829918 Joshua Michael Brooks Student in an Organized Health Care Education/Training Program Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 2020-04-02
1053967091 Kristina Strupp Clinical Nurse Specialist 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 2019-08-15
1427510296 Madelyn Pickle Student in an Organized Health Care Education/Training Program 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 2019-04-02
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457872673 Canzata Kimberly Dent Counselor 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 2017-06-28
1538689955 Christian Pena Durable Medical Equipment & Medical Supplies 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 2017-06-27
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1811443492 Thomas Diamond Physical Therapist 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 2016-09-01
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1992105621 Nicole R Hall Nurse Practitioner 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 2014-08-29
Find all providers in zip 53215

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861924482 Katie Johannah Livingston Radiology 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2017-04-02
1891157871 Jacob Samuel Witt Radiology 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2016-03-28
1679935860 Amber Ann Retzlaff Radiology 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2016-03-25
1912384280 Saryleine Ortiz De Choudens Radiology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2015-05-06
1396131439 Nina A Desai Radiology 8701 W Watertown Plank Rd, Milwaukee, WI 53226 2015-04-14
1124413422 Daniel Paul Lindsay Radiology 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2015-04-02
1205279957 Musaddiq Javvad Awan Radiology 9200 W Wisconsin Ave, Milwaukee, WI 53226 2013-04-12
1699038588 Lindsay L Puckett Radiology 9200 W Wisconsin Ave, Milwaukee, WI 53226 2012-06-17
1265708606 Hina Saeed Radiology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2012-03-29
1801188230 Jeffrey Alan Kittel Radiology 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2011-05-03
Find all providers in MILWAUKEE

Competitor

Search similar providers

City MILWAUKEE
Zip Code 53215

Improve Information

Please comment or provide details below to improve the information on KENNETH T BASTIN.

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.

Trending Searches