ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC


Address: 1531 S Madison St Ste 580, Appleton, WI 54915
Phone: 9207382000

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1073770558) 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) 1073770558
Entity Type Organization
Organization Name ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Other Organization Name ASCENSION MEDICAL GROUP
Practice Address 1531 S Madison St Ste 580
Appleton
WI 54915
Mailing Address 1531 S Madison St Ste 580
Appleton
WI 54915-1800
Practice Telephone 9207382000
Mailing Telephone 9207382000
Enumeration Date 2008-05-21
Last Update Date 2020-08-05
Authorized Official Name TIMOTHY L MASEK (VP-FINANCE)
Authorized Official Telephone 4144653000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 32752000 05

Other Provider/Organization Names

Other Name Type Code
Ascension Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1619121597 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 933 Newbury St, Ripon, WI 54971 2008-11-05

Office Location

Street Address 1531 S MADISON ST STE 580
City APPLETON
State WI
Zip Code 54915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205466737 Leyes Robers Dental LLC Dentist 3216 W County Rd Kk, Appleton, WI 54915 2020-01-23
1912426958 Shanna L. Larsen Registered Nurse 1101 E. South River St., Appleton, WI 54915 2017-09-11
1477082816 Amy Fazel Driver 226 E Calumet St, Appleton, WI 54915 2017-06-08
1871940213 B.a.israel LLC Community Based Residential Treatment Facility, Mental Illness N9520 Silver Court, Appleton, WI 54915 2016-05-16
1982933479 Stephanie I. Braski Counselor 1531 S. Oneida St, Appleton, WI 54915 2009-12-14
1386808319 Shawn S Williamson Emergency Medicine 1506 South Oneida Street, Appleton, WI 54915 2008-07-18
1700040870 Heidi Jo Van Toll Occupational Therapist 1335 S Oneida Street, Appleton, WI 54915 2008-07-17
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
1134339500 Fox River Periodontics Sc Dentist 2557b East Calumet St, Appleton, WI 54915 2007-05-23
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1013175306 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 3329 N Richmond St, Appleton, WI 54911 2008-05-23
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

Competitor

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City APPLETON
Zip Code 54915

Improve Information

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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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