Ascension Medical Group-Fox Valley Wisconsin, Inc

Organization Active NPI Multi-Specialty Clinic/Center · Appleton, WI

NPI 1013175306 · NPPES record last updated May 19, 2026

Key facts

NPI
1013175306
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Practice address
3329 N Richmond St
Appleton, WI 54911
Phone
(920) 380-2715
NPI assigned
May 23, 2008
Organization subpart
No

Authorized official

Name
David Jirovec
Title
Sr Finance Director - Medical Group
Phone
(715) 347-6655

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

National Provider Directory

Tax ID family
Affinity Medical GRP (31 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

3329 N Richmond St
Appleton, WI 54911

Mailing address

3329 N Richmond St
Appleton, WI 54911-1063
Phone (920) 738-2000

Other identifiers

IdentifierTypeStateIssuer
32752000MedicaidWI

Other names

  • Ascension Medical Group Doing business as

Other providers in Appleton, WI

All providers in Appleton, WI · Multi-Specialty Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.