Provider Demographics
NPI:1972602852
Name:ASCHKENAZI-STEINBERG, SARIT O (MD)
Entity Type:Individual
Prefix:
First Name:SARIT
Middle Name:O
Last Name:ASCHKENAZI-STEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 SUMMIT AVE STE 101
Mailing Address - Street 2:PROHEALTH CARE WOMEN'S CENTER
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-3844
Mailing Address - Country:US
Mailing Address - Phone:262-569-0345
Mailing Address - Fax:262-569-0333
Practice Address - Street 1:785 SUMMIT AVE STE 101
Practice Address - Street 2:PROHEALTH CARE WOMEN'S CENTER
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3844
Practice Address - Country:US
Practice Address - Phone:262-569-0345
Practice Address - Fax:262-569-0333
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-114484207V00000X
WI52047207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1620385OtherBLUE SHIELD
IL036114484Medicaid
ILI43295Medicare UPIN
ILK21562Medicare PIN
WI683750610Medicare PIN
IL036114484Medicaid