DR. FREDRICK C AUSTERMANN (NPI# 1093789331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093789331 |
| Entity Type | Individual |
| Full Name | DR. FREDRICK C AUSTERMANN |
| Credential | D.D.S |
| Practice Address |
6217 S Packard Ave Cudahy WI 53110-3096 |
| Practice Telephone | 4147645550 |
| Practice Fax Number | 4147648175 |
| Mailing Telephone | 4147645550 |
| Mailing Fax Number | 4147648175 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5000496 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33535800 | 05 |
| Street Address |
6217 S PACKARD AVE |
| City | CUDAHY |
| State | WI |
| Zip Code | 53110-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164496477 | Cudahy Dental Associates, S.c. | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2006-02-14 |
| 1912565227 | David Lubin | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2019-06-01 |
| 1043786601 | Karen Wang | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2018-10-22 |
| 1861847097 | Kimberly Carmichael | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2016-04-25 |
| 1760820567 | Susan Angel Meinerz | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2013-06-13 |
| 1649618497 | Michael Louis Jumes | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2013-06-13 |
| 1164717732 | Frank A Caputo | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3089 | 2011-06-12 |
| 1003136953 | Anne M Allmann | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3089 | 2010-06-02 |
| 1184754459 | Wisconsin Dental Group, S.c. | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2007-03-06 |
| 1578537643 | Michael J Ketten | Dentist | 6217 S Packard Ave, Cudahy, WI 53110-3096 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
| 1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
| 1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
| 1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
| 1740546829 | Fatima Ali | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2012-04-03 |
| 1609003508 | Elizabeth A Vissat | Podiatrist | 5900 S Lake Dr, 2 West, Cudahy, WI 53110 | 2009-06-18 |
| 1366616864 | Miguel A Aguilera | Anesthesiology | 5900 S Lake Dr, Cudahy, WI 53110 | 2008-04-15 |
| 1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
| 1114005618 | Manila Sodhi | Internal Medicine | 5900 S Lake Dr, 2 West, Cudahy, WI 53110 | 2006-11-01 |
| Find all providers in zip 53110 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1255628491 | Ronald J Pruhs | Dentist | 4120 S Lake Dr, Apt. 251, Saint Francis, WI 53235-5954 | 2011-07-08 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| Find all providers with the same taxonomy | ||||
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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.