DR. BENJAMIN SALAZAR YABUT JR. (NPI# 1215915194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215915194 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN SALAZAR YABUT JR. |
| Credential | M.D. |
| Practice Address |
3522 W Lisbon Ave Milwaukee WI 53208-1953 |
| Mailing Address |
859 N Main St Malta OH 43758-9007 |
| Practice Telephone | 4149358000 |
| Mailing Telephone | 7409626111 |
| Mailing Fax Number | 7409621657 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036085422 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.132415 | OH | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 34385-020 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-085422 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0007055591 | 01 | |
| IL | 036-085422 | 05 | |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | 0001635078 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1141 E Main St, Suite 212, East Dundee, IL 601182440 | 8478441248 | 8478441287 |
| 406 S 15th St, Coshocton, OH 438122285 | 7402953331 | 7402953332 |
| Street Address |
3522 W LISBON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53208-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492885 | Max Carpenter | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2020-03-18 |
| 1538712658 | Joshua David Spierer | Social Worker | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-07-17 |
| 1477106730 | Toni Delagardelle | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-07-16 |
| 1477114452 | Samantha Ellen Neuroth | Dental Hygienist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-06-21 |
| 1376014563 | Shannon M Engel | Dental Hygienist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2018-12-16 |
| 1831675362 | Francesca Napolitano | Pharmacist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2018-07-18 |
| 1508382276 | Smriti Madrecha | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2017-08-15 |
| 1588103097 | Jason Holt | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2017-02-16 |
| 1972058824 | Courtney L Schmitz | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2016-08-22 |
| 1699228080 | Nicole Wooters | Social Worker | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
| 1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
| 1205379500 | Benjamin Michael Bleck-owens | Counselor | 5508 W. Vliet Street, Milwaukee, WI 53208 | 2016-11-18 |
| 1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
| 1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
| 1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
| 1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
| 1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
| Find all providers in zip 53208 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1013390582 | Devashis Mukherjee | Pediatrics | 8915 W Connell Ct, Milwaukee, WI 53226 | 2015-07-02 |
| 1154715639 | Palak Shah | Pediatrics | 8915 W Connell Court, Milwaukee, WI 53226 | 2015-03-24 |
| 1285028886 | Alexandria Holliday | Pediatrics | 999 N 92nd St Ste C460, Milwaukee, WI 53226 | 2015-03-23 |
| 1033526603 | Vijay S Kumbar | Pediatrics | 3003 W Good Hope Rd Apt S-711, Milwaukee, WI 53209-2042 | 2014-07-16 |
| 1275897019 | Monica B Musete | Pediatrics | 3201 S 16th St Ste 1020, Milwaukee, WI 53215-4532 | 2012-06-26 |
| 1427384486 | Sarah J. Pratt | Pediatrics | 3062 E Newport Ct, Milwaukee, WI 53211-2910 | 2009-10-27 |
| Find all providers in MILWAUKEE | ||||
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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.