COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.


Address: 2323 N Lake Dr, Milwaukee, WI 53211-4508
Phone: 4142911000

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. (NPI# 1871656082) 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) 1871656082
Entity Type Organization
Organization Name COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.
Other Organization Name ASCENSION SETON DENTAL CLINIC
Practice Address 2323 N Lake Dr
Milwaukee
WI 53211-4508
Mailing Address 4425 N Port Washington Rd
Glendale
WI 53212-1082
Practice Telephone 4142911000
Practice Fax Number 4149613382
Mailing Telephone 4143262212
Mailing Fax Number 4143262208
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 282N00000X General Acute Care Hospital 111 WI Hospitals
Y 282N00000X General Acute Care Hospital 53 WI Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
WI 41223700 05
WI 11010300 05
WI 11010304 05
WI 21295200 05
WI 36200900 05
WI 36200500 05
WI 38396200 05
WI 42197600 05
WI 21292900 05
WI 21294400 05
WI 42197621 05

Other Provider/Organization Names

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073832218 Columbia St. Mary's Hospital Milwaukee, Inc. Anesthesiology 4425 N Port Washington Rd, Glendale, WI 53212-1082 2010-05-27

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 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1346605177 Wheaton Alert-milwaukee General Acute Care Hospital 4300 W Brown Deer Rd Fl 2, Milwaukee, WI 53223-2410 2015-12-21
1255334173 Froedtert Memorial Lutheran Hospital, Inc. General Acute Care Hospital 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2005-05-24
1851828685 Zablocki Va Medical Center General Acute Care Hospital 5000 W National Ave, Milwaukee, WI 53295-0001 2017-05-11
1295280220 Aurora Health Care Metro Inc General Acute Care Hospital 945 N 12th St, Milwaukee, WI 53233-1305 2016-08-19
1811362577 Defense Finance & Actg Serv. General Acute Care Hospital 5000 W National Ave, Milwaukee, WI 53295-0001 2015-12-07
1235527771 Zablocki Va Medical Center General Acute Care Hospital 5000 W National Ave, Milwaukee, WI 53295-0002 2015-01-07
1932514890 Vha Milwaukee General Acute Care Hospital 5000 W National Ave, Milwaukee, WI 53295-0001 2014-06-30
1639513302 Aurora St. Luke's Medical Center General Acute Care Hospital 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2013-04-24
1720339914 Clement J Zablocki Va Medical Center General Acute Care Hospital 5000 W National Ave, Milwaukee, WI 53295-0001 2012-09-27
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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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