ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1073970984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073970984 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
1610 Hoover St New Holstein WI 53061 |
| Mailing Address |
1610 Hoover St New Holstein WI 53061-1636 |
| Practice Telephone | 9208493800 |
| Mailing Telephone | 9207382000 |
| Enumeration Date | 2016-01-22 |
| 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 |
| 1275963845 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1506 S Oneida St, Appleton, WI 54915 | 2013-11-19 |
| 1619121597 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 933 Newbury St, Ripon, WI 54971 | 2008-11-05 |
| Street Address |
1610 HOOVER ST |
| City | NEW HOLSTEIN |
| State | WI |
| Zip Code | 53061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144392879 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 1610 Hoover St, New Holstein, WI 53061-1636 | 2006-11-15 |
| 1508429903 | Brittany Kohlmann | Occupational Therapist | 1610 Hoover St, New Holstein, WI 53061-1636 | 2019-04-21 |
| 1366960163 | Nsh New Holstein LLC | Skilled Nursing Facility | 1610 Hoover St, New Holstein, WI 53061-1636 | 2017-09-01 |
| 1497141998 | Willowdale Nursing & Rehab Center | Skilled Nursing Facility | 1610 Hoover St, New Holstein, WI 53061-1636 | 2015-04-10 |
| 1336531656 | Fmg Hoover Street Wisconsin LLC | Skilled Nursing Facility | 1610 Hoover St, New Holstein, WI 53061-1636 | 2015-02-24 |
| 1184012635 | Heather Kooiman | Speech-Language Pathologist | 1610 Hoover St, New Holstein, WI 53061-1636 | 2015-01-07 |
| 1730327602 | Mark P Runge | Speech-Language Pathologist | 1610 Hoover St, New Holstein, WI 53061-1636 | 2009-01-29 |
| 1376751180 | Kay T. Schnell | Physical Therapy Assistant | 1610 Hoover St, New Holstein, WI 53061-1636 | 2007-05-18 |
| 1528272879 | Connie M Gehl | Physical Therapy Assistant | 1610 Hoover St, New Holstein, WI 53061-1636 | 2007-05-09 |
| 1043424120 | Sarah Ramaker | Physical Therapy Assistant | 1610 Hoover St, New Holstein, WI 53061-1636 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528233699 | Hany M Elewa | Chiropractor | N10548 Cty G, New Holstein, WI 53061 | 2008-04-29 |
| 1104013408 | Assisted Living Concepts Inc | Assisted Living Facility | 1706 Hoover Street, New Holstein, WI 53061 | 2007-10-01 |
| 1396946729 | Back In Action Rehabilitation | Physical Therapist | 1401 Milwaukee Dr, New Holstein, WI 53061 | 2007-05-31 |
| 1851487177 | Bradley S Baus | Dentist | 1836 Wisconsin Ave, New Holstein, WI 53061 | 2006-10-05 |
| 1558356956 | Denis J Pleviak | Family Medicine | 2020 Madison St, New Holstein, WI 53061-1055 | 2005-09-13 |
| 1578791216 | James Patrick Tobin | Registered Nurse | 2129 Randolph Ave, 205, New Holstein, WI 53061-1058 | 2009-07-01 |
| 1700855046 | American Home Nursing, LLC | Home Health | 1623 Wisconsin Ave, New Holstein, WI 53061-1118 | 2006-03-17 |
| 1134392541 | School District of New Holstein | Local Education Agency (LEA) | 1715 Plymouth St, New Holstein, WI 53061-1254 | 2008-04-07 |
| 1629106570 | Calumet Homestead Rehabilitation Center | Skilled Nursing Facility | 1712 Monroe St, New Holstein, WI 53061-1307 | 2007-03-01 |
| 1124661061 | Nsh New Holstein-monroe LLC | Skilled Nursing Facility | 1712 Monroe St, New Holstein, WI 53061-1307 | 2019-10-23 |
| Find all providers in zip 53061 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 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 | NEW HOLSTEIN |
| Zip Code | 53061 |
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.