COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC (NPI# 1225071491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225071491 |
Entity Type | Organization |
Organization Name | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC |
Other Organization Name | ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE |
Practice Address |
2323 N Lake Dr Milwaukee WI 53211-4508 |
Mailing Address |
4425 N Port Washington Rd Glendale WI 53212-1082 |
Practice Telephone | 4142704932 |
Practice Fax Number | 4142915195 |
Mailing Telephone | 4143262100 |
Enumeration Date | 2006-06-14 |
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 | 21280300 | 05 | |
WI | 21258000 | 05 |
Other Name | Type Code |
---|---|
Ascension Columbia St Mary's Hospital Milwaukee | Doing Business As Name - Organization |
Street Address |
2323 N LAKE DR |
City | MILWAUKEE |
State | WI |
Zip Code | 53211-4508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225032691 | Rosemary S Presser | Nurse Practitioner | 2323 N Lake Dr, 7th Floor, Milwaukee, WI 53211-4508 | 2005-06-13 |
1205434404 | Emma Stocker | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
1669070876 | Hannah Brodner | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
1598378531 | Sandra Luz Chapa | Registered Nurse | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-28 |
1295347227 | Sarah Purpura | Dietitian, Registered | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-20 |
1780205450 | Kyra Gravelle | Occupational Therapist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-04 |
1780213223 | Andrew Michael Ganshirt | Student in an Organized Health Care Education/Training Program | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-04-06 |
1386290872 | Mary R Laquerre | Anesthesiologist Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-08-12 |
1346721669 | Rochelle F Hass | Physician Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-08-24 |
1053800714 | Heather Jean Biancuzzo | Pharmacist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1912484635 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 633 E Mason St, Milwaukee, WI 53202-3813 | 2018-07-25 |
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1922164656 | Procare Medical Group Sc | Clinic/Center | 1218 W Kilbourn Ave, Suite 124, Milwaukee, WI 53233-1330 | 2006-12-28 |
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1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
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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 |
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 |
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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.