Kenneth T Bastin (NPI# 1457393431, PAC ID# 3971404831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1457393431 |
| PAC ID by PECOS | 3971404831 |
| Professional Enrollment ID | I20040719000213 |
| Full Name | Kenneth T Bastin |
| Organization Legal Name | RADIATION ONCOLOGY ASSOCIATES LTD |
| Address |
36500 Aurora Dr Summit WI 53066-4899 |
| Phone Number | 2624341800 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7618924622 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520206 | AURORA MEDICAL CENTER - SUMMIT |
| 520189 | AURORA MEDICAL CENTER KENOSHA |
| Address | Phone | Organization |
|---|---|---|
| 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 9202884160 | RADIATION ONCOLOGY ASSOCIATES LTD |
| 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 4146496420 | RADIATION ONCOLOGY ASSOCIATES LTD |
| 3809 Spring St, Mount Pleasant, WI 53405-1667 | 2626875000 | RADIATION ONCOLOGY ASSOCIATES LTD |
| 36500 Aurora Dr, Summit, WI 53066-4899 | 2624341800 | RADIATION ONCOLOGY ASSOCIATES LTD |
| 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 4143286460 | RADIATION ONCOLOGY ASSOCIATES LTD |
| Organization Legal Name | RADIATION ONCOLOGY ASSOCIATES LTD |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell H Pincus | Radiation Oncology | Radiation Oncology Associates Ltd | 1222 N 23rd St, Sheboygan, WI 53081-3171 |
| Ellen L Ziaja | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| John D Naida | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Pamela Vanderwall | Radiation Oncology | Radiation Oncology Associates Ltd | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Michael Y Hsie | Radiation Oncology | Radiation Oncology Associates Ltd | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Gregory E Kauffmann | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Laura B Ulmer | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Shannon T Offerman | Radiation Oncology | Radiation Oncology Associates Ltd | 19333 W N Ave, Brookfield, WI 53045-4132 |
| Perry M Gould | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| William J Pao | Radiation Oncology | Radiation Oncology Associates Ltd | 1222 N 23rd St, Sheboygan, WI 53081-3171 |
| Street Address |
36500 AURORA DR |
| City | SUMMIT |
| State | WI |
| Zip | 53066-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin L Eggleston | Hospitalist | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Rebecca M Striet | Undersea and Hyperbaric Medicine | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Shreema M Sawlani | Anesthesiology | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jena Cruciani | Nurse Practitioner | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jeanne M Valicenti | Dermatology | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Elisabeth C Biggs | Physician Assistant | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Amy R Ford | Physical Medicine and Rehabilitation | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Ellen L Ziaja | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jeffrey A Smith | Emergency Medicine | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Sean M Moe | Physician Assistant | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Find all physicians in zip 53066 | |||
| City | SUMMIT |
| Zip Code | 53066 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SUMMIT + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Kenneth T Bastin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.