ASCENSION NE WISCONSIN, INC (NPI# 1093205163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093205163 |
Entity Type | Organization |
Organization Name | ASCENSION NE WISCONSIN, INC |
Other Organization Name | ASCENSION NE WISCONSIN-MERCY CAMPUS |
Practice Address |
500 S Oakwood Rd Oshkosh WI 54904 |
Mailing Address |
500 S Oakwood Rd Oshkosh WI 54904-7944 |
Practice Telephone | 9202232000 |
Mailing Telephone | 9202232000 |
Enumeration Date | 2018-05-15 |
Last Update Date | 2019-08-29 |
Authorized Official Name | JONATHAN W SOHN (CFO) |
Authorized Official Telephone | 4144653000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Other Name | Type Code |
---|---|
Ascension NE Wisconsin-Mercy Campus | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912527193 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-04-17 |
1447618004 | Ascension Ne Wisconsin, Inc | Clinic/Center | N496 Milky Way, Appleton, WI 54915 | 2016-02-10 |
1023026580 | Ascension Ne Wisconsin, Inc | Skilled Nursing Facility | 1506 S Oneida St, Appleton, WI 54915 | 2006-08-03 |
1508872409 | Ascension Ne Wisconsin, Inc | Rehabilitation Unit | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2006-07-31 |
1407803638 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 1506 S Oneida St, Appleton, WI 54915 | 2006-05-31 |
1124075536 | Ascension Ne Wisconsin, Inc | Surgery | 1550 Midway Pl, Menasha, WI 54952 | 2006-05-30 |
Street Address |
500 S OAKWOOD RD |
City | OSHKOSH |
State | WI |
Zip Code | 54904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750385597 | Anesthesia Services of The Fox Valley Sc | Anesthesiology | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2005-06-09 |
1881211027 | Mike Zernzach | Pharmacist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-07-04 |
1477179059 | Amanda Gruber | Dietitian, Registered | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-06-19 |
1912527193 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-04-17 |
1255965430 | Autumn Bridget Anderson | Occupational Therapy Assistant | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-02-26 |
1912484619 | Ihc-wound Care Services LLC | Emergency Medicine | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-07-25 |
1326542580 | Tyler Burton | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-03-22 |
1093223893 | Austin Michael Calantoni | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-01-15 |
1437692589 | Ashley Rickert | Occupational Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2016-11-22 |
1689128365 | Alyssa Anne Gloudemans | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2016-08-10 |
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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 Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
1417170283 | Aurora Health Care Metro, Inc. | Psychiatric Unit | 2900 W Oklahoma Ave., Milwaukee, WI 53215 | 2007-04-10 |
1811926132 | Columbia St. Mary's Hospital Milwaukee, Inc | Psychiatric Unit | 2323 N Lake Drive, Milwaukee, WI 53211-4508 | 2006-06-30 |
1437105624 | Community Memorial Hospital of Menomonee Falls Inc | Psychiatric Unit | W180 N 8085 Town Hall Rd, Menomonee Falls, WI 53052 | 2006-05-26 |
1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
1982901542 | Milwaukee County Mental Health Division | Psychiatric Unit | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2011-02-17 |
1629221502 | Mohammad Mallick, Md, LLC | Psychiatric Unit | 1525 Liberty Ct, Brookfield, WI 53045-5327 | 2008-10-23 |
1184800468 | St. Josephs Community Hospital of West Bend Inc. | Psychiatric Unit | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2008-01-16 |
1811172489 | Aurora Sinai Medical Center, Inc. | Psychiatric Unit | 945 N 12th St, Milwaukee, WI 53233-1305 | 2008-01-02 |
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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.