Columbia St Mary's Hospital Ozaukee, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.

Doing business as

Ascension Columbia St Mary's Hospital Ozaukee

Practice address

13111 N Port Washington Rd
Mequon, WI 53097-2416

Phone

(262) 243-7300

NPI assigned

Jun 5, 2006

Last updated

Nov 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Hanselman

Title

Cfo

Phone

(414) 465-3000

Specialties & licenses 1

Addresses

Other names 1

• Ascension Columbia St Mary's Hospital Ozaukee Doing business as

Member of 1

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

• Ascension Wisconsin Pharmacy, Inc

  dba Ascension Rx 1109

  • Community/Retail Pharmacy
  • Mequon, WI
  • NPI 1306042411

  Member Of

  NPD member

Locations

Practitioners 21

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.

• Peggy A Callahan, MD

  • Family Medicine Physician
  • West Allis, WI
  • NPI 1093732661
  NPD (past)
• Joseph W Caron, MD

  • Family Medicine Physician
  • Wautoma, WI
  • NPI 1225109382
  NPD (past)
• Diane Carpenter, MD

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1467409888
  NPD (past)
• Murray Sean Donovan, M.D.

  • Diagnostic Radiology Physician
  • La Crosse, WI
  • NPI 1598747263
  NPD (past)
• Dirk Matthew Dulmes, D.C.

  • Chiropractor
  • Oostburg, WI
  • NPI 1508890716
  NPD (past)
• Domingo T Hong, MD

  • Internal Medicine Physician
  • Grafton, WI
  • NPI 1811915358
  NPD (past)
• James Hurth, MD

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1376534487
  NPD (past)
• Vladimir Ivanovic, M.D.

  • Neuroradiology Physician
  • Milwaukee, WI
  • NPI 1578542767
  NPD (past)
• Sally Larosa, NP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1558448845
  NPD (past)
• John F Lesko, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Bend, WI
  • NPI 1831196484
  NPD (past)
• Deanna Lyons, DC

  • Chiropractor
  • Plymouth, WI
  • NPI 1508943929
  NPD (past)
• Tracy Lyons, DC

  • Chiropractor
  • Plymouth, WI
  • NPI 1679650097
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1376582775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972416",
            "telephone_number": "262-243-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972416",
            "telephone_number": "262-243-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "HANSELMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Columbia St Mary's Hospital Ozaukee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colab Physicians, SC
• Madalynn Collins
• Columbia Center, Inc.
• Columbia St Mary's Hospital Ozaukee, Inc. (Ascension Columbia St Mary's Hospital Ozaukee)
• Columbia St Mary's Hospital Ozaukee, Inc. (Ascension Columbia St Mary's Hospital Ozaukee)
• Columbia St Mary's Hospital Ozaukee, Inc. (Ascension Columbia St Mary's Hospital Ozaukee)
• Columbia St. Mary's Hospital Milwaukee Inc (Ascension Columbia St Mary's Hospital Ozaukee)
• Columbia St. Mary's Hospital Milwaukee, Inc (Ascension Columbia St Mary's Hospital Milwaukee)
• Elona Como, PA
• Comprehensive Dental Services LTD

• Multi-Specialty Clinic/Center in Mequon, WI
• Providers in Mequon, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.