ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1316104870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316104870 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
1501 S Madison St Appleton WI 54915 |
| Mailing Address |
1501 S Madison St Appleton WI 54915-1846 |
| 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 |
| 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 |
1501 S MADISON ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022254 | George R Stanis | Surgery | 1501 S Madison St, Appleton, WI 54915-1846 | 2005-09-06 |
| 1417373952 | Jodi L Beggs | Nurse Practitioner | 1501 S Madison St, Surgery Department, Appleton, WI 54915-1846 | 2014-03-07 |
| 1174950398 | Marci E Messerschmidt | Nurse Practitioner | 1501 S Madison St, Surgery Dept, Appleton, WI 54915-1846 | 2013-10-02 |
| 1124454830 | Kristin G Anderson | Registered Nurse | 1501 S Madison St, Appleton, WI 54915 | 2013-09-26 |
| 1619318714 | Deborah Ann Bartmann | Nurse Practitioner | 1501 S Madison St, Appleton, WI 54915-1846 | 2013-07-17 |
| 1619223146 | Allison L Stallbohm | Nurse Practitioner | 1501 S Madison St, Appleton, WI 54915-1846 | 2012-08-02 |
| 1609152065 | Lira R Martinez | Physician Assistant | 1501 S Madison St, Appleton, WI 54915-1846 | 2011-10-31 |
| 1174767271 | Ping D Lady | Surgery | 1501 S Madison St, Appleton, WI 54915-1846 | 2009-04-21 |
| 1659571867 | Aditya Kumar Rangbulla | Internal Medicine | 1501 S Madison St, Appleton, WI 54915-1846 | 2007-07-25 |
| 1154529824 | Antonet Kay Woods | Nurse Practitioner | 1501 S Madison St, Appleton, WI 54915-1846 | 2007-07-04 |
| Find all providers in the same location | ||||
| 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 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
| 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 |
| 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.