Organization Active NPI

Ascension Medical Group-Fox Valley Wisconsin, Inc

Doing business as Ascension Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Little Chute, WI
National Provider Identifier
1245335165
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Doing business as
Ascension Medical Group
Practice address
200 Patriot Dr
Little Chute, WI 54140
Phone
(920) 687-2800
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
David Jirovec
Title
Finance Director
Phone
(715) 347-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

200 Patriot Dr
Little Chute, WI 54140

Mailing address

1550 Midway PL
Menasha, WI 54952-1165
Phone (920) 738-2000

Other names 1

  • Ascension Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

200 Patriot Dr
Little Chute, WI 54140
Phone (920) 687-2800

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1245335165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MIDWAY PL",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521165",
            "telephone_number": "920-738-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATRIOT DR",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "54140",
            "telephone_number": "920-687-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "JIROVEC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "715-347-6655"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Chute, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.