Mark Alan Augustyn, MD
Individual provider Active NPI Diagnostic Radiology Physician · Eau Claire, WI
NPI 1013963909 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1013963909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 44669 (WI)
- Practice address
- 900 West Clairemont Avenue
Eau Claire, WI 54701 - Phone
- (715) 839-4151
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44669 | WI | MD | Neuroradiology Physician |
| 100942 | MN | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Xray Consultants, LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 44669 | WI | |
| Body Imaging Physician | 2085B0100X | 100942 | MN | |
| Neuroradiology Physician | 2085N0700X | 44669 | WI | |
| Neuroradiology Physician | 2085N0700X | 100942 | MN | |
| Nuclear Radiology Physician | 2085N0904X | 44669 | WI | |
| Nuclear Radiology Physician | 2085N0904X | 100942 | MN | |
| Pediatric Radiology Physician | 2085P0229X | 44669 | WI | |
| Pediatric Radiology Physician | 2085P0229X | 100942 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 44669 | WI | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 100942 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 44669 | WI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 100942 | MN | |
| Radiological Physics Physician | 2085R0205X | 44669 | WI | |
| Diagnostic Ultrasound Physician | 2085U0001X | 44669 | WI | |
| Diagnostic Ultrasound Physician | 2085U0001X | 100942 | MN |
Addresses
Primary practice location
900 West Clairemont Avenue
Eau Claire, WI 54701
Mailing address
2715 West Frank Street
Eau Claire, WI 54703
Phone (715) 834-5511
Other providers in Eau Claire, WI
- Julie Ann Ashbaugh
- Adam D Atkins
- Douglas M. Atkins
- Mark Henry Attermeier
- Tam Au
- Douglas G Auleta
- Katie Sue Aumann
- Sara Elizabeth Ausman
- Leah Austad
- Dennis Anthony Auth
All providers in Eau Claire, WI · Diagnostic Radiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.