Jennifer A Augustine, M.D.
Individual provider Active NPI Emergency Medicine Physician · Milwaukee, WI
NPI 1295795904 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1295795904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 41292 (WI)
- Practice address
- 111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41292 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| DRS. Massaro & Kalenak S C | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Emergency Medicine | Current | Accepting new patients |
| Integrated Therapeutic Massage LLC | Past |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
10625 W North Ave
Ste 102
Wauwatosa, WI 53226
Phone (414) 877-5350
1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 41292 | WI | Yes |
Addresses
Primary practice location
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Mailing address
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930104133 | Other | WI | RAILROAD MEDICARE |
| 34080700 | Medicaid | WI |
Other providers in Milwaukee, WI
- Kristin M Auer
- Alex M Aufdemberge
- Tom P Aufderheide
- Elizabeth Marie Aughey
- Bibin K Augustine
- Maureen Nash Augustine
- Kelly Ann Aukamp
- Michelle R Aumann
- Zaw Moe Aung
- Aurora Advanced Healthcare, Inc.
All providers in Milwaukee, WI · Emergency Medicine 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 Jul 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.