ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1013175306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013175306 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
3329 N Richmond St Appleton WI 54911 |
| Mailing Address |
3329 N Richmond St Appleton WI 54911-1063 |
| Practice Telephone | 9203802715 |
| Mailing Telephone | 9207382000 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | TIMOTHY L MASEK (VP-FINANCE) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32752000 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| 1639226962 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | N9642 County N, Appleton, WI 54915 | 2007-01-05 |
| 1154478469 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 708 W. Ryan St., Brillion, WI 54110 | 2007-01-05 |
| 1780781096 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 632 Fremont St., Kiel, WI 53042 | 2006-09-20 |
| 1073970984 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1610 Hoover St, New Holstein, WI 53061 | 2016-01-22 |
| 1275963845 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1506 S Oneida St, Appleton, WI 54915 | 2013-11-19 |
| Street Address |
3329 N RICHMOND ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224245 | Norman J Schroeder II | Family Medicine | 3329 N Richmond St, Appleton, WI 54911-1063 | 2005-09-06 |
| 1376069930 | Lee A Firby | Social Worker | 3329 N Richmond St, Appleton, WI 54911-1063 | 2017-08-16 |
| 1558723775 | Ashraf Abbas | Family Medicine | 3329 N Richmond St, Appleton, WI 54911-1063 | 2016-03-26 |
| 1871960674 | Maggie J Van Abel | Nurse Practitioner | 3329 N Richmond St, Appleton, WI 54911-1063 | 2015-08-27 |
| 1376948638 | John T Siebers | Nurse Practitioner | 3329 N Richmond St, Appleton, WI 54911-1063 | 2014-10-29 |
| 1942604897 | Jessica E Gorenc | Nurse Practitioner | 3329 N Richmond St, Appleton, WI 54911-1063 | 2014-10-21 |
| 1467873075 | Krista Jensen | Social Worker | 3329 N Richmond St, Appleton, WI 54911-1063 | 2013-12-27 |
| 1275896946 | Charles Michael Miller | Family Medicine | 3329 N Richmond St, Appleton, WI 54911-1063 | 2012-06-19 |
| 1467710350 | Angela L Sargeant | Family Medicine | 3329 N Richmond St, Appleton, WI 54911-1063 | 2012-04-27 |
| 1679885776 | Don Jordan Martin | Family Medicine | 3329 N Richmond St, Appleton, WI 54911-1063 | 2010-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| 1265816342 | Advanced Movement Studio | Clinic/Center | 101 W Edison Ave, Suite 110, Appleton, WI 54915-1367 | 2015-07-17 |
| 1275963845 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1506 S Oneida St, Appleton, WI 54915 | 2013-11-19 |
| 1427201508 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1818 N Meade St, Appleton, WI 54911 | 2008-11-03 |
| 1124286422 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1506 S Oneida St, 5th Floor, Appleton, WI 54915 | 2008-05-23 |
| 1730346214 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1611 S Madison St, Appleton, WI 54915 | 2008-05-21 |
| 1659538130 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1506 S Oneida St, Appleton, WI 54915 | 2008-05-21 |
| 1316104870 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1501 S Madison St, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in APPLETON | ||||
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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.