COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC. (NPI# 1316000706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316000706 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC. |
| Other Organization Name | ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE |
| Practice Address |
13111 N Port Washington Rd Mequon WI 53097-2416 |
| Mailing Address |
4425 N Port Washington Rd Glendale WI 53212-1082 |
| Practice Telephone | 2622437300 |
| Practice Fax Number | 2622437416 |
| Mailing Telephone | 4143262378 |
| Mailing Fax Number | 4143262155 |
| Enumeration Date | 2006-12-18 |
| 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 | 282N00000X | General Acute Care Hospital | 246 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42235300 | 05 | |
| WI | 11008300 | 05 | |
| WI | 41223800 | 05 | |
| WI | 36200600 | 05 | |
| WI | 42235326 | 05 | |
| WI | 11008326 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension Columbia St Mary's Hospital Ozaukee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376582775 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2006-06-05 |
| 1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
| 1184786329 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-12-14 |
| Street Address |
13111 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053360933 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 | 2006-05-09 |
| 1083251631 | Abbey Beck | Dietitian, Registered | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-12-03 |
| 1184269326 | Whitney Gilbert | Social Worker | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-11-12 |
| 1831733872 | Deidre Alexandra Marsh | Social Worker | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-11-02 |
| 1043854474 | Elizabeth Shepler | Nurse Anesthetist, Certified Registered | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-10-29 |
| 1053952028 | Marcus Sojka | Physical Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-10-01 |
| 1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
| 1508306671 | Philip W Diperna | Nurse Practitioner | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2017-03-08 |
| 1932652732 | Karen Neusen | Occupational Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2016-07-27 |
| 1255796181 | Magdalena Walentynowicz | Physician Assistant | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2015-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272105 | Medstar Georgetown Medical Center, Inc | General Acute Care Hospital | 10201 N Port Washington Rd, Mequon, WI 53092-5752 | 2010-04-06 |
| 1952461824 | Columbia Center, Inc. | General Acute Care Hospital | 13125 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-12-11 |
| 1992022511 | Washington Hospital Center - Physician Hospital Organization | General Acute Care Hospital | 10201 N Port Washington Rd, Mequon, WI 53092-5752 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
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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.