ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC


Address: 1818 N Meade St, Appleton, WI 54911
Phone: 9208318900

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1427201508) 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) 1427201508
Entity Type Organization
Organization Name ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Other Organization Name ASCENSION MEDICAL GROUP
Practice Address 1818 N Meade St
Appleton
WI 54911
Mailing Address 1818 N Meade St
Appleton
WI 54911-3454
Practice Telephone 9208318900
Mailing Telephone 9207382000
Enumeration Date 2008-11-03
Last Update Date 2020-08-18
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
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

Office Location

Street Address 1818 N MEADE ST
City APPLETON
State WI
Zip Code 54911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588666853 Appleton Emergency Services S C Emergency Medicine 1818 N Meade St, Appleton, WI 54911-3454 2005-06-01
1720691553 Katie Jo Bares Physical Therapist 1818 N Meade St, Appleton, WI 54911-3454 2020-08-31
1306454053 Samantha L Thiede Nurse Practitioner 1818 N Meade St, Appleton, WI 54911-3454 2020-07-20
1346867272 Lauren Renee Schauer Registered Nurse 1818 N Meade St, Appleton, WI 54911-3454 2020-06-26
1790309755 Lane Baumbach Dietitian, Registered 1818 N Meade St, Appleton, WI 54911-3454 2020-06-04
1326661026 Thedacare Regional Medical Center - Appleton, Inc. Medicare Defined Swing Bed Unit 1818 N Meade St, Appleton, WI 54911-3454 2020-05-28
1568095016 Samantha Putzer Physician Assistant 1818 N Meade St, Appleton, WI 54911-3454 2020-02-12
1083245120 Krystina L Putnam Registered Nurse 1818 N Meade St, Appleton, WI 54911-3454 2020-01-28
1366097040 Kelsey G Alt Physician Assistant 1818 N Meade St, Appleton, WI 54911-3454 2019-08-08
1528611217 Abigail M Witthuhn Physician Assistant 1818 N Meade St, Appleton, WI 54911-3454 2019-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912545633 Brotherly Love, LLC Day Training, Developmentally Disabled Services 1513 E Frances St, Appleton, WI 54911 2019-12-12
1952952129 Eagle Point Senior Living Inc Assisted Living Facility 995 East John Street, Appleton, WI 54911 2019-09-27
1619524766 University Rx LLC Pharmacy 133 E College Ave, Appleton, WI 54911 2019-08-23
1174080063 Shayla Russell Counselor Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 2019-02-27
1871086645 Megan Kilsdonk Health Educator 1604 N Meade St, Appleton, WI 54911 2018-06-07
1871085480 Tanya Lynn Vickery Social Worker 410 S. Elm St., Appleton, WI 54911 2018-05-31
1013407501 Teri G Metropulos Counselor 229 S. Morrison, Appleton, WI 54911 2018-05-10
1093211211 Bonnie Anne Korytkowski Student in an Organized Health Care Education/Training Program 229 S. Morrison Street, Appleton, WI 54911 2018-04-05
1639673940 Brett Follett Psychologist 401 S. Elm St., Appleton, WI 54911 2018-03-21
1700202892 Brian Withrow Counselor 607 West 7th St., Appleton, WI 54911 2014-03-13
Find all providers in zip 54911

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
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
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 54911

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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