ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1164680468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164680468 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
2700 W 9th Ave Oshkosh WI 54904 |
| Mailing Address |
2700 W 9th Ave Oshkosh WI 54904-7247 |
| Practice Telephone | 9207382000 |
| Mailing Telephone | 9207382000 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2020-08-14 |
| 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 |
2700 W 9TH AVE |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1689928467 | Banner Health Physicians West LLC | Clinic/Center | 1100 W 2nd St, Oshkosh, NE 69154-6152 | 2012-11-01 |
| 1346408648 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 310, Oshkosh, WI 54904 | 2008-05-23 |
| 1811155195 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 220, Oshkosh, WI 54904 | 2008-05-23 |
| 1881852184 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 203, Oshkosh, WI 54904 | 2008-05-23 |
| 1235397530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 230, Oshkosh, WI 54904 | 2008-05-23 |
| 1346408630 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2725 Jackson St, Oshkosh, WI 54901 | 2008-05-23 |
| 1154588606 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2008-05-21 |
| 1942477187 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1855 S Koeller St, Oshkosh, WI 54902 | 2008-05-15 |
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| 1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
| 1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 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 |
| Find all providers with the same taxonomy | ||||
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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.