ASCENSION SE WISCONSIN HOSPITAL, INC (NPI# 1861417362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861417362 |
| Entity Type | Organization |
| Organization Name | ASCENSION SE WISCONSIN HOSPITAL, INC |
| Other Organization Name | ASCENSION SE WISCONSIN HOSPITAL-ELMBROOK CAMPUS |
| Practice Address |
19333 W North Ave Brookfield WI 53045 |
| Mailing Address |
19333 W North Ave Brookfield WI 53045-4132 |
| Practice Telephone | 2627852000 |
| Mailing Telephone | 2627852000 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASCENSION SE WISCONSIN HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Ascension SE Wisconsin Hospital-Elmbrook Campus | Doing Business As Name - Organization |
| Ascension SE Wisconsin Hospital-St Joseph Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423995 | Ascension Se Wisconsin Hospital, Inc | Clinic/Center | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2019-02-11 |
| 1750594297 | Ascension Se Wisconsin Hospital, Inc | General Practice | 3070 N 51st St, Suite 601, Milwaukee, WI 53210-1645 | 2007-05-08 |
| 1427007384 | Ascension Se Wisconsin Hospital, Inc | General Acute Care Hospital | 5000 W Chambers St, Milwaukee, WI 53210 | 2006-05-09 |
| Street Address |
19333 W NORTH AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314076 | John K Hur | Anesthesiology | 19333 W North Ave, Brookfield, WI 53045-4132 | 2005-11-25 |
| 1467063008 | Shelly Schneider Parker | Registered Nurse | 19333 W North Ave, Brookfield, WI 53045-4132 | 2020-08-16 |
| 1083224661 | Deborah Moraza | Registered Nurse | 19333 W North Ave, Brookfield, WI 53045-4132 | 2020-08-07 |
| 1659905727 | Bobbie-jo Marie King | Pharmacist | 19333 W North Ave, Brookfield, WI 53045-4198 | 2020-02-27 |
| 1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
| 1801350632 | Anne M Hollandsworth | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-25 |
| 1245704477 | Dana J Wilson | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-22 |
| 1043788870 | Thomas M Nigro Jr. | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-11-09 |
| 1356819619 | Freda Lynn Erdman | Clinical Nurse Specialist | 19333 W North Ave, Brookfield, WI 53045 | 2018-11-05 |
| 1891285474 | Uche Dike | Pharmacist | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014322 | Little Strokes Swim Academy LLC | Rehabilitation Unit | 1029 Quinn Dr, Waunakee, WI 53597-2502 | 2019-07-11 |
| 1700281045 | Gundersen Lutheran Medical Center Inc | Rehabilitation Unit | 1843 Sims Pl, La Crosse, WI 54601-6276 | 2014-10-29 |
| 1710180138 | Tomah Va Medical Center | Rehabilitation Unit | 10222 Emerson Rd, 500e Veterans St, Tomah, WI 54660-4235 | 2007-06-06 |
| 1154468205 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 619 Bridge St, Prentice, WI 54556-1131 | 2007-01-30 |
| 1104922814 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 103 South Gibson St, Medford, WI 54451-1622 | 2006-09-16 |
| 1962407874 | St Joseph's Hospital of Marshfield, Inc | Rehabilitation Unit | St.joseph's Ave, Marshfield, WI 54449 | 2005-06-16 |
| 1588104475 | Mchs Hospitals, Inc. | Rehabilitation Unit | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2017-02-27 |
| 1801294905 | Rennes Health and Rehab Center | Rehabilitation Unit | 1970 Navajo St, Rhinelander, WI 54501-8890 | 2014-12-05 |
| 1124463815 | Aurora Medical Center Grafton | Rehabilitation Unit | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2013-05-08 |
| 1871815282 | Aurora Health Care Southern Lakes, Inc. | Rehabilitation Unit | 36500 Aurora Dr, Summit, WI 53066-4899 | 2010-02-26 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.