ELEAZAR SAN-AGUSTIN (NPI# 1083761365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083761365 |
| Entity Type | Individual |
| Full Name | ELEAZAR SAN-AGUSTIN |
| Credential | M.D. |
| Practice Address |
4929 W Fond Du Lac Ave Milwaukee WI 53216-2324 |
| Mailing Address |
4390 Druid Ct Brookfield WI 53005-1548 |
| Practice Telephone | 4148716122 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
21832 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30261400 | 05 |
| Street Address |
4929 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465783 | Susan Beverly Collyard | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2006-12-19 |
| 1881236057 | Nyairah Shana Abdullah | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1508408626 | Shelby Wilson | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1639711856 | Ayasha Nichelle Marshall | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1669932398 | Latasha N Woods | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-03-20 |
| 1700369212 | Esma Yvonne Mitchell | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1053894584 | Nicole T. Gail | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1124501655 | Dorothy S. Stevenson | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1417430158 | Kristina Marie Schramkowski | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-10 |
| 1043722861 | Joan Patricia Roseman | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
| 1376925065 | Lamberton Psychiatry, LLC | Psychiatry & Neurology | 2025 N Summit Ave, Suite 107, Milwaukee, WI 53202-1362 | 2015-06-18 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1194127514 | New Age Billing Service | Psychiatry & Neurology | 2802 N 47th Street, Milwaukee, WI 53210 | 2014-09-17 |
| 1902061328 | Paul Gregory Stein | Psychiatry & Neurology | 9330 W Lincoln, Greater Milwaukee Free Clinic, Milwaukee, WI 53227 | 2008-07-24 |
| 1497878656 | Raymond S Koziol | Psychiatry & Neurology | 4830 N Port Washington Rd, Milwaukee, WI 53217-5445 | 2007-04-10 |
| 1801958020 | Bruce R Stevens Md Sc | Psychiatry & Neurology | 1601 E Blackthorne Pl, Milwaukee, WI 53211-1139 | 2006-12-14 |
| 1720149362 | Milwaukee County Behavioral Health Medical Associates Psych | Psychiatry & Neurology | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2006-12-13 |
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| 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.