WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (NPI# 1932719580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932719580 |
Entity Type | Organization |
Organization Name | WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC |
Other Organization Name | ASCENSION WI AT WORK |
Practice Address |
2333 Northwestern Ave Ste 115 Racine WI 53404-2520 |
Mailing Address |
5412 Us Highway 10 E Stevens Point WI 54482-8559 |
Practice Telephone | 2626355600 |
Mailing Telephone | 7152955280 |
Mailing Fax Number | 7152955289 |
Enumeration Date | 2020-08-07 |
Last Update Date | 2020-09-14 |
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 |
---|---|---|---|---|---|
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ascension WI at Work | Other Name - Individual/Organization |
Street Address |
2333 NORTHWESTERN AVE STE 115 |
City | RACINE |
State | WI |
Zip Code | 53404-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033686001 | Rosamaria E Garcia | Registered Nurse | 1120 Hartman Ct, Racine, WI 53404 | 2018-10-29 |
1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
1215095096 | Bonnie Lee Wirfs | Internal Medicine | 2000 Domanik Drive, Racine, WI 53404 | 2006-12-05 |
1992813893 | Craig E Fleury | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
1174631089 | Greg L Smart | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
1649560871 | Abby Healthcare Staffing, LLC | Home Health | 3406 Killips Ln, Racine, WI 53404-1310 | 2011-04-08 |
1114071917 | Ib Thostrup | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
1417001140 | Thostrup Chiropractic, S.c. | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
1578620423 | Sally Jean Brown | Chiropractor | 2609 Rapids Dr, Racine, WI 53404-1741 | 2007-01-02 |
Find all providers in zip 53404 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114143781 | Medical Support Services Inc | Clinic/Center | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2007-04-18 |
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1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
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 |
Find all providers with the same taxonomy |
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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.