NPIMap

Organization Active NPI

Columbia St. Mary'S Hospital Milwaukee, Inc

  • General Practice Physician
  • Glendale, WI
National Provider Identifier
1194330712
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Practice address
375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone
(414) 326-1500
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Susan Dwyer
Title
Cfo
Phone
(414) 465-3093

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

375 W River Woods Pkwy
Glendale, WI 53212-1080

Mailing address

375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 326-1500

Other practice location 1

3056 S Kinnickinnic Ave
Milwaukee, WI 53207-2583
Phone (414) 326-2660

Other names 1

  • Ascension Columbia St Mary's Milwaukee - River Woods Other name

National Provider Directory

National Provider Directory
Tax ID family
North Lake Medical Asso8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1194330712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 W RIVER WOODS PKWY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121080",
            "telephone_number": "414-326-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 W RIVER WOODS PKWY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121080",
            "telephone_number": "414-326-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3056 S Kinnickinnic Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532072583",
            "country_code": "US",
            "telephone_number": "414-326-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3093"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Columbia St Mary's Milwaukee - River Woods",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ascension Columbia St Mary's Milwaukee - River Woods",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.