COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC


Address: 2323 N Lake Dr, Milwaukee, WI 53211-4508
Phone: 4142704932

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).

Provider Overview

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

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 21280300 05
WI 21258000 05

Other Provider/Organization Names

Other Name Type Code
Ascension Columbia St Mary's Hospital Milwaukee Doing Business As Name - Organization

Office Location

Street Address 2323 N LAKE DR
City MILWAUKEE
State WI
Zip Code 53211-4508

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1497768659 Wisconsin Health Fund Clinic/Center 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 2006-08-15
1356907133 Rgn Family Behavioral Health, LLC Clinic/Center 6917 W Oklahoma Ave, Milwaukee, WI 53219-2973 2019-05-16
1912484635 Comprehensive Occupational Medical Associates of Connecticut P C Clinic/Center 633 E Mason St, Milwaukee, WI 53202-3813 2018-07-25
1073801395 Shalem Healing Clinic/Center 800 E Locust St, Milwaukee, WI 53212-2634 2011-07-20
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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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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
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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Competitor

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City MILWAUKEE
Zip Code 53211

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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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