ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1639282544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639282544 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
1420 Algoma St New London WI 54961 |
| Mailing Address |
1570 Midway Pl Menasha WI 54952-1165 |
| Practice Telephone | 9209828300 |
| Mailing Telephone | 9207201464 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | SUZANNE SANICOLA (ADMINISTRATIVE VP) |
| Authorized Official Telephone | 4144653968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| 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 |
1420 ALGOMA ST |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811981830 | Marie T Weber | Internal Medicine | 1420 Algoma St, New London, WI 54961-2104 | 2005-09-06 |
| 1952685794 | Jennifer E Resch | Nurse Practitioner | 1420 Algoma St, New London, WI 54961-2104 | 2011-09-28 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1063619336 | Brooke Birling | Physician Assistant | 1420 Algoma St, New London, WI 54961-2104 | 2007-06-29 |
| 1841226818 | Steven A Goedderz | Family Medicine | 1420 Algoma St, New London, WI 54961-2104 | 2006-06-23 |
| 1508851403 | Dale L Schlais | Family Medicine | 1420 Algoma St, New London, WI 54961-2104 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1821263849 | Mark Alan Tegtmeier | Counselor | E7475 Rawhide Rd, New London, WI 54961 | 2008-04-30 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| 1497837900 | Michael Reed | Nurse Anesthetist, Certified Registered | 1405 Mill St, New London, WI 54961 | 2006-10-20 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565928 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 400 Bayonet St Ste 100, New London, CT 06320-2600 | 2019-09-04 |
| 1538344932 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 698 Bank St, New London, CT 06320-5040 | 2008-01-03 |
| 1386823573 | Shoreline Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 27 Fair Harbour Pl, New London, CT 06320-4710 | 2007-10-24 |
| 1548469729 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 21 Montauk Ave Ste 102, New London, CT 06320-4906 | 2007-07-17 |
| 1184836926 | Leonard Gary Fish | Durable Medical Equipment & Medical Supplies | 3 Colonial Place, New London, NH 03257 | 2007-05-04 |
| 1275754566 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 237 Jefferson Ave., New London, CT 06320 | 2007-05-02 |
| 1891869947 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2 Shaws Cv Ste 100, New London, CT 06320-4975 | 2006-11-20 |
| 1699879593 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 817 Bank St, New London, CT 06320-3503 | 2006-09-12 |
| 1154332641 | Mgfn Corp | Durable Medical Equipment & Medical Supplies | 613 Broad St, New London, CT 06320-2544 | 2006-08-10 |
| 1720005879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1717 N Shawano St, New London, WI 54961-9365 | 2006-07-16 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
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.