Ascension Medical Group-Fox Valley Wisconsin, Inc
Organization Active NPI Multi-Specialty Clinic/Center · Kaukauna, WI
NPI 1154589448 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1154589448
- 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
- 2601 Fieldcrest Dr
Kaukauna, WI 54130 - Phone
- (920) 462-6100
- 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
National Provider Directory
- Tax ID family
- Affinity Medical GRP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
2601 Fieldcrest Dr
Kaukauna, WI 54130
Mailing address
2601 Fieldcrest Dr
Kaukauna, WI 54130-4523
Phone (920) 738-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32752000 | Medicaid | WI |
Other names
- Ascension Medical Group
Other providers in Kaukauna, WI
- Hadassa Esther Abramov
- Anita M. Ambrosius
- Apricity Counseling and Consulting
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Angela Jean Ashman II
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Molly Marie Barrett
All providers in Kaukauna, 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 May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.