Columbia St. Mary'S Hospital Milwaukee, Inc
Organization Active NPI Multi-Specialty Clinic/Center · Milwaukee, WI
NPI 1023064482 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1023064482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
- Practice address
- 2350 N Lake Dr
Milwaukee, WI 53211 - Phone
- (414) 585-1000
- NPI assigned
- May 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Dwyer
- Title
- Cfo
- Phone
- (414) 465-3093
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 3
Practitioners 948
-
Beth E Abramson, M.D.
-
Tamara A Adducci, MD
-
Dima Adl, MD
-
Omprakash Ahuja, MD
-
Alok Arora, MD, MRCP(UK) ACUTE M
-
Marilu M Arvizu, NP
-
Pedro M. Banda, MD
-
Wamiq Yahya Banday, MBBS, MD
-
Michelle Barcelona, FNP
-
Catherine Bares, APNP
-
Kayode Jibril Bello, M.D., M.P.H.
-
Ryan Berg, M.D.
-
Vaishnavy Bhaskaruni, M.D.
-
Lindsay Biddick, AGACNP-BC
-
Naveen Bilgi, MD
-
Steve L Blackburn, MHA, MPAS, PA-C
-
Grant G Boschult, MD
-
Jason K. Boudreau, D.P.M.
-
John H. Braxton, M.D.
-
Stephanie L. Brinkman, PA-C
-
John Scott Broderick, M.D.
-
Karen Alice Brown, APNP
-
Anna E Buness, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Wisconsin Hospital- Menomonee Falls Campus |
Hospital | 5% Or Greater Indirect Ownership Interest (51%) | Apr 15, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000057 | WI | Part B Supplier - Clinic/Group Practice | 5890604722 |
Receives reassigned benefits from 914 practitioners 4 other NPIs on this enrollment |
| O20101101000597 | WI | Part B Supplier - Clinic/Group Practice | 5890604722 |
Receives reassigned benefits from 27 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mequon, WI |
National Provider Directory
Locations
7410 Solutions Ctr
Chicago, IL 60677
7413 Solutions Ctr
Chicago, IL 60677
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
19485 W N Ave Ste 201
Brookfield, WI 53045
6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100
5261 N Port Washington Rd
Ste 10
Glendale, WI 53217
4545 N Port Washington Rd
Glendale, WI 53212
4425 N Port Washington Rd
Ofc Ctr
Glendale, WI 53212
12831 N Port Washington Rd
Ste 100
Mequon, WI 53097
Phone (262) 243-9600
13111 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-7367
13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470
12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300
2350 N Lake Dr
Ste 509
Milwaukee, WI 53211
Phone (414) 289-9668
788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020
2301 N Lake Dr
Rm 1577
Milwaukee, WI 53211
Phone (414) 291-1771
2301 N Lake Dr
#1577
Milwaukee, WI 53211
9252 N Green Bay Rd
Fl 2
Milwaukee, WI 53209
Phone (414) 270-8150
13133 N Port Washington Rd
Ste 1
Thiensville, WI 53097
10950 W Capitol Dr
Wauwatosa, WI 53222
Phone (414) 464-4460
801 S 60th St
Ste 150
West Allis, WI 53214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| General Practice Physician |
208D00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
2350 N Lake Dr
Milwaukee, WI 53211
Mailing address
PO Box 860496
Minneapolis, MN 55486-0496
Phone (414) 585-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32793800 | Medicaid | WI |
Other names
- Ascension Columbia St Mary's Hospital Milwaukee
- Ascension Columbia St Mary's Hospital Ozaukee
Other providers in Milwaukee, WI
- Miriam Colton
- Patricia Colucci
- Columbia Cardiographic Consultants, LTD.
- Columbia Community Physicians
- Columbia St. Mary'S Hospital Milwaukee Inc
- Columbia St. Mary'S Hospital Milwaukee, Inc
- Columbia St. Mary'S Hospital Milwaukee, Inc
- Columbia St. Mary'S Hospital Milwaukee, Inc
- Columbia St. Mary'S Hospital Milwaukee, Inc.
- Linda A Colvin
All providers in Milwaukee, WI · Multi-Specialty Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.