ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI# 1942477187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942477187 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Other Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
1855 S Koeller St Oshkosh WI 54902 |
| Mailing Address |
1855 S Koeller St Oshkosh WI 54902-6186 |
| Practice Telephone | 9202232000 |
| Mailing Telephone | 9207382000 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | TIMOTHY L MASEK (VP FINANCE) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32752000 | 05 |
| 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 |
1855 S KOELLER ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170301 | David Eugene Coleman | Personal Emergency Response Attendant | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2005-08-03 |
| 1154947851 | Kristian Noelle Bastress | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2020-06-19 |
| 1770050585 | Donna Jo Hawley | General Practice | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-10-30 |
| 1588155139 | Natasha Garbe | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-05-18 |
| 1336639202 | Kassondra K Korth | Family Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-05-15 |
| 1881197028 | Angela Marie Beach | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2018-03-14 |
| 1568994853 | Sarah Wypiszynski | Family Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2017-03-28 |
| 1942669049 | Mercy Medical Center of Oshkosh Inc | Clinic/Center | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-17 |
| 1245699321 | Tracy Rank | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-17 |
| 1295193282 | Jennifer Haen | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688363 | Grandpa Ray's Home Care Partners LLC | In Home Supportive Care | 1755 W 7th Avenue, Oshkosh, WI 54902 | 2020-04-22 |
| 1942866314 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1212 S Koeller St, Oshkosh, WI 54902 | 2019-05-11 |
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1881971513 | Eric D Jachthuber | Pharmacist | 950 Koeller Rd, Oshkosh, WI 54902 | 2011-11-09 |
| 1912158148 | Jennifer L Daly | Registered Nurse | 648 West 5th Avenue, Oshkosh, WI 54902 | 2008-10-07 |
| 1093873028 | Phyllis Ann Pieplow | Registered Nurse | 2307 Doty St, Oshkosh, WI 54902 | 2006-12-04 |
| 1336210939 | Juliette P M Sterkens | Audiologist | 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 | 2006-11-13 |
| 1043266927 | Christopher S. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-25 |
| 1285688192 | Theresa Lynn Petrick Gatchell | Optometrist | 1300 S Koeller Road, Oshkosh, WI 54902 | 2006-05-22 |
| 1558329821 | Teresa M Vanaacken | Physical Therapist | 300 S Koeller Street, Suite B, Oshkosh, WI 54902 | 2006-05-03 |
| Find all providers in zip 54902 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1689928467 | Banner Health Physicians West LLC | Clinic/Center | 1100 W 2nd St, Oshkosh, NE 69154-6152 | 2012-11-01 |
| 1346408648 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 310, Oshkosh, WI 54904 | 2008-05-23 |
| 1811155195 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 220, Oshkosh, WI 54904 | 2008-05-23 |
| 1164680468 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Oshkosh, WI 54904 | 2008-05-23 |
| 1881852184 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 203, Oshkosh, WI 54904 | 2008-05-23 |
| 1235397530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 230, Oshkosh, WI 54904 | 2008-05-23 |
| 1346408630 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2725 Jackson St, Oshkosh, WI 54901 | 2008-05-23 |
| 1154588606 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2008-05-21 |
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|---|---|---|---|---|
| 1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
| 1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
| 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 |
| 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 |
| 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.