Oregon ASC Company, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OREGON ASC COMPANY, LLC

Doing business as

ThedaCare Oshkosh Surgery Center

Practice address

250 West 6TH Avenue
Suite 100
Oshkosh, WI 54902

Phone

(920) 651-8200

NPI assigned

Dec 24, 2025

Last updated

Jan 21, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Flett

Title

Cfo

Phone

(920) 454-4013

Specialties & licenses 1

Addresses

Other names 1

• ThedaCare Oshkosh Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124984901. Details of each certification follow.

• CCN 52C0001163 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 52C0001163

Legal name

ThedaCare Oshkosh Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 10, 2026

Last certification

May 13, 2026

Facility address

250 West 6th Ave., Suite 100
Oshkosh, WI 54902

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Thedacare Regional Medical Center - Appleton Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Thedacare Regional Medical Center - Appleton, Inc.

  dba WI Veterans Village Physical Therapy

  • General Acute Care Hospital
  • Appleton, WI
  • NPI 1831773589

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Kent Hendrickson, M.D.

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1740675040
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1124984901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 6TH AVE STE 100",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025910",
            "telephone_number": "920-651-8200",
            "fax_number": "920-831-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST 6TH AVENUE",
            "address_2": "SUITE 100",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54902",
            "telephone_number": "920-651-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ASC COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC.",
        "enumeration_date": "2025-12-24",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "FLETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-454-4013"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThedaCare Oshkosh Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Olson, PA
• Sara Opat
• Ophthalmic Surgery of Wi LTD
• Ophthalmic Surgery of Wi LTD
• Alexa Oppermann, DDS
• Carin Lynn Orourke, LCSW, CSAC, ICS
• Orthopedic & Spine Therapy of Oshkosh SC
• Orthopedic & Spine Therapy of Oshkosh, SC
• Orthopedic & Sports Medicine Specialists of Green Bay, SC
• Jayson Osborn, DO

• Ambulatory Surgical Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.