NPIMap

John H. Braxton, M.D.

Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Weston, WI

NPI 1073568655 · NPPES record last updated Feb 10, 2025

Key facts

NPI
1073568655
Entity type
Individual (NPI type 1)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License
55168 (WI)
Practice address
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone
(715) 393-1000
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Thoracic Surgery
Also: Cardiac Surgery
Education
Howard University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals Inc (1,195 clinicians)
Columbia St Marys Hospital Milwaukee Inc (311 clinicians)

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

2350 N Lake Dr
Suite 400
Milwaukee, WI 53211-4528
Phone (414) 271-1633

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital · Milwaukee, WI · CCN 520051
  • Marshfield Medical Center - Weston Hospital · Weston, WI · CCN 520202
  • Ascension All Saints Hospital Hospital · Racine, WI · CCN 520096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)12

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MT, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190305002692 MT Practitioner - Cardiac Surgery 0648214320 Reassigns benefits to 1 organization
I20241125000639 WI Practitioner - Thoracic Surgery
Practitioner - Cardiac Surgery		 0648214320 Reassigns benefits to 10 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
014598MEMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
70145MTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc Current
since Feb 3, 2025		 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current
since Nov 19, 2024		 Accepting new patients
Lakeview Medical Center Inc of Rice Lake Current
since Feb 3, 2025		 Accepting new patients
Memorial Hospital Inc Current
since Feb 3, 2025		 Accepting new patients
Lakeview Medical Center Inc of Rice Lake Current
since Feb 3, 2025		 Accepting new patients
Beaver Dam Community Hospitals Inc Current
since Feb 3, 2025		 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc Current
since Nov 19, 2024		 Accepting new patients
MCHS Hospitals Inc Current
since Feb 3, 2025		 Accepting new patients
Beaver Dam Community Hospitals Inc Current
since Feb 3, 2025		 Accepting new patients
Memorial Hospital Inc Current
since Feb 3, 2025		 Accepting new patients
Great Falls Clinic LLC Current
since Dec 7, 2024		 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc Current
since Feb 3, 2025		 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 270-1633

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 014598 ME
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 70145 MT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036144421 IL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 55168 WI Yes

Addresses

Primary practice location

3400 Ministry Pkwy
Weston, WI 54476-5220

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

1340 Charles St
Rockford, IL 61104-2200
Phone (779) 696-8800

Other identifiers

IdentifierTypeStateIssuer
336110099MedicaidME

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Other providers in Weston, WI

All providers in Weston, WI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.