COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC. (NPI# 1376582775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376582775 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC. |
| Other Organization Name | ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE |
| Practice Address |
4425 N Port Washington Rd Glendale WI 53212-1082 |
| Practice Telephone | 4143262100 |
| Mailing Telephone | 4143262100 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-08-30 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32757400, 21262600 | 05 | |
| WI | 21262700, 21262400 | 05 | |
| WI | 38997300, 21273300 | 05 | |
| WI | 21279900 | 05 | |
| WI | 21262500, 21268700 | 05 | |
| WI | 32869300 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension Columbia St Mary's Hospital Ozaukee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
| 1316000706 | Columbia St Mary's Hospital Ozaukee, Inc. | General Acute Care Hospital | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-12-18 |
| 1184786329 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-12-14 |
| Street Address |
4425 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073832218 | Columbia St. Mary's Hospital Milwaukee, Inc. | Anesthesiology | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2010-05-27 |
| 1124359625 | Galina Bakman | Nurse Practitioner | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2010-01-22 |
| 1780850008 | Eduardo Enrique Delgado | Pediatrics | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2008-05-06 |
| 1851417802 | Mary Rudolph Thomas | Physical Therapist | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1659735504 | Tulaya Wellness Corp | Clinic/Center | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2016-04-07 |
| 1912379090 | Quick Med Center LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301 | 2015-10-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
| 1356571228 | Brand Medical Center | Clinic/Center | 620 N Brand Blvd, Suite 403, Glendale, CA 91203-4208 | 2009-07-24 |
| Find all providers in GLENDALE | ||||
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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.