MERCY MEDICAL CENTER OF OSHKOSH, INC


Address: 2700 W 9th Ave, Oshkosh, WI 54904-7247
Phone: 9202361850

MERCY MEDICAL CENTER OF OSHKOSH, INC (NPI# 1043438492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043438492
Entity Type Organization
Organization Name MERCY MEDICAL CENTER OF OSHKOSH, INC
Other Organization Name ASCENSION NE WISCONSIN MERCY HOSPITAL, INC
Practice Address 2700 W 9th Ave
Oshkosh
WI 54904-7247
Practice Telephone 9202361850
Enumeration Date 2007-04-23
Last Update Date 2017-10-23
Authorized Official Name TRAVIS ANDERSEN (REGIONAL PRESIDENT)
Authorized Official Telephone 4144653721
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ascension NE Wisconsin Mercy Hospital, Inc Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659382711 Mercy Medical Center of Oshkosh, Inc Skilled Nursing Facility 500 S Oakwood Rd, Oshkosh, WI 54904-7944 2006-08-11

Office Location

Street Address 2700 W 9TH AVE
City OSHKOSH
State WI
Zip Code 54904-7247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598762841 Nathan C Meloy Anesthesiology 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 2005-07-01
1629547633 Tosha Wright Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2018-11-19
1265897821 Nicole M Edwards Specialist/Technologist 2700 W 9th Ave, Suite 125, Oshkosh, WI 54904-7247 2015-12-28
1316331960 Jelena Kravic Shadick Pediatrics 2700 W 9th Ave, Oshkosh, WI 54904 2015-03-21
1811390180 Kelyn O'brien Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2014-10-01
1700286192 Jill Kahler Clinical Exercise Physiologist 2700 W 9th Ave, Suite 107, Oshkosh, WI 54904-7247 2014-09-04
1578963096 Gretta C. Grube Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2014-09-03
1225448681 Kelly E O'connor Advanced Practice Midwife 2700 W 9th Ave, Ste 230, Oshkosh, WI 54904-7247 2014-05-06
1992070650 Julia E Salomon Dietitian, Registered 2700 W 9th Ave, Oshkosh, WI 54904-7247 2012-03-14
1598039943 Scott Michael Pethan Clinical Exercise Physiologist 2700 W 9th Ave, Suite 107, Oshkosh, WI 54904-7247 2012-03-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326567140 Mary Kay Benotsch Registered Nurse 505 South Washburn Street, Oshkosh, WI 54904 2017-09-13
1295278356 Braden Williams Nurse Anesthetist, Certified Registered 955 Pheasant Creek Dr, Oshkosh, WI 54904 2016-11-22
1740651330 Ams of Wisconsin - Oshkosh Clinic/Center 595 South Washburn St, Oshkosh, WI 54904 2015-10-08
1174990253 Kaochi Desjheannette Vang Occupational Therapist Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 2015-08-25
1326453200 Chey V Collura Surgery 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 2014-06-30
1275847543 Eden Rehabilitation Suites and Green House Homes, Inc. Skilled Nursing Facility 3151 Eden Court, Oshkosh, WI 54904 2010-07-29
1700043502 Eric Koehler Physical Therapist 3475 Omro Rd Ste 300, Oshkosh, WI 54904 2008-05-20
1831396167 Angela Marie Wade Behavioral Analyst 2986 Fitchburg Ct., Oshkosh, WI 54904 2007-06-29
1174642383 Michael Gerard Bell Dentist 1795 West Pointe Dr, Oshkosh, WI 54904 2007-03-28
1235253030 Jessica Anne Bielmeier Registered Nurse 2700 West 9th Ave #125, Oshkosh, WI 54904 2007-03-19
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295972024 Excel Physical Therapy LLC Clinic/Center 480 N Koeller St, Oshkosh, WI 54902-4111 2009-01-15
1689685059 Robert Runge Dba Excel Physical Therapy Clinic/Center 420 N Koeller St, Oshkosh, WI 54902-4111 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093313074 Byond Physical Therapy, LLC Clinic/Center 11320 W Forest Home Ave, Franklin, WI 53132-1401 2020-10-13
1568078780 Streamline Physical Therapy Clinic/Center 5806 Crabapple Ln, Madison, WI 53711-3437 2020-09-22
1790311199 Exos Wi LLC Clinic/Center 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 2020-03-17
1831735885 Garvey Physical Therapy & Wellness LLC Clinic/Center 417 Maple Ct, Campbellsport, WI 53010-3531 2019-11-25
1821649088 Impact Physical Therapy & Performance LLC Clinic/Center 1155 Clarity Dr, Verona, WI 53593-9318 2019-09-27
1427605146 Peak Endurance Clinic/Center 15 N Butler St, Madison, WI 53703-4237 2019-08-19
1558917617 Quad/med, LLC Clinic/Center N61 W23044 Harry's Way, Sussex, WI 53089 2019-08-14
1619521267 Space To Be Well, LLC Clinic/Center 1091 Sutherland Ave, River Falls, WI 54022-7509 2019-07-31
1346894656 Cornerstone Physical Therapy, LLC Clinic/Center 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 2019-07-25
1619437514 Resilience Rx LLC Clinic/Center 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 2019-03-25
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Competitor

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City OSHKOSH
Zip Code 54904

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Dataset Information

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.

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