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ELEAZAR SAN-AGUSTIN M.D.
NPI 1083761365
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since January 05, 2007
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216(414) 871-6122 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eleazar San-agustin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEAZAR SAN-AGUSTIN M.D. (NPI 1083761365) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (21832) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083761365
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameELEAZAR SAN-AGUSTINCredential: M.D.
Location Address4929 W FOND DU LAC AVEMilwaukee, WI 53216-2324
Mailing Address4390 Druid CtBrookfield, WI 53005-1548
Phone(414) 871-6122
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083761365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 21832
Definition
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.
4929 W FOND DU LAC AVE, Milwaukee, WI 53216
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Other Identifiers 3

Medicare UPINF21792WI
Medicaid30261400WI
Medicare ID-Type Unspecified00046219WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE JONES M.S.
Community/Behavioral Health
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 871-6122
MRS. ANN MARY SCHOENEMAN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 871-6122
MS. KEISHA WHITE M.A.
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 871-6122
SARA JEAN SCHULZ
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 871-6122
JOAN PATRICIA ROSEMAN CADC, MAPSY
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 527-6940
CHERYL A GONZALEZ I BS
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 871-6122
ANNETTE RENNA MCKNIGHT
Peer Specialist
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 871-6122
MS. NICOLE T. GAIL
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 852-9166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eleazar San-agustin's NPI number?

The NPI number for Eleazar San-agustin is 1083761365. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Eleazar San-agustin located?

Eleazar San-agustin practices at 4929 W Fond Du Lac Ave, Milwaukee, WI 53216. The listed phone number is (414) 871-6122.

What is Eleazar San-agustin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Eleazar San-agustin accept?

Health plans from CareSource (Common Ground Healthcare) list Eleazar San-agustin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eleazar San-agustin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.