ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1013174465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013174465 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
916 E Main St Winneconne WI 54986 |
| Mailing Address |
916 E Main St Winneconne WI 54986-9782 |
| Practice Telephone | 9205821100 |
| Mailing Telephone | 9207382000 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-08-18 |
| 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 |
916 E MAIN ST |
| City | WINNECONNE |
| State | WI |
| Zip Code | 54986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841307 | Loyda O Loria | Internal Medicine | 916 E Main St, Winneconne, WI 54986-9782 | 2005-09-16 |
| 1659558344 | David J Hoenecke | Pharmacist | 916 E Main St, Winneconne, WI 54986-9782 | 2008-01-25 |
| 1457485013 | Mayumi L. Cayde Leslie | Family Medicine | 916 E Main St, Winneconne, WI 54986-9782 | 2007-03-15 |
| 1811086598 | Morton Drug Co Inc | Pharmacy | 916 E Main St, Winneconne, WI 54986-9782 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658903 | Winneconne Chiropractic and Sports Rehab LLC | Chiropractor | 238 W Main Street, Winneconne, WI 54986 | 2014-07-28 |
| 1588770671 | Timothy Owen Mcginnis | Chiropractor | 11 N 6th Ave, Winneconne, WI 54986 | 2006-08-22 |
| 1972942175 | Kimberly Ann Lewis | Counselor | 140 W Main Street, The Growing Tree, Winneconne, WI 54986 | 2013-06-20 |
| 1619278819 | Alexandra Kellogg | Chiropractor | 238 W Main St, Winneconne, WI 54986 | 2010-11-04 |
| 1326242496 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2007-06-13 |
| 1295262772 | Evelyn Lauren Andersen | Registered Nurse | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2017-05-16 |
| 1336772730 | Luke William Berglund | Student in an Organized Health Care Education/Training Program | 1132 Aster Ln, Winneconne, WI 54986-9166 | 2020-02-14 |
| 1376817163 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 946 E Main St., Winneconne, WI 54986-9396 | 2012-02-27 |
| 1144531757 | The Growing Tree Counseling & Wellness | Counselor | 140 W Main St Ste A, Winneconne, WI 54986-9409 | 2010-06-29 |
| 1457566689 | Audra A Eggum | Social Worker | 140 W Main St, Suite A, Winneconne, WI 54986-9409 | 2007-05-11 |
| Find all providers in zip 54986 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WINNECONNE |
| Zip Code | 54986 |
Please comment or provide details below to improve the information on ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC.
| 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.