Columbia St Mary'S Hospital Ozaukee, Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Mequon, WI
NPI 1376582775 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1376582775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.
- Practice address
- 13111 N Port Washington Rd
Mequon, WI 53097-2416 - Phone
- (262) 243-7300
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew Hanselman
- Title
- Cfo
- Phone
- (414) 465-3000
Member of 1
Practitioners 21
-
Peggy A Callahan, MD
-
Joseph W Caron, MD
-
Diane Carpenter, MD
-
Murray Sean Donovan, M.D.
-
Dirk Matthew Dulmes, D.C.
-
Domingo T Hong, MD
-
James Hurth, MD
-
Vladimir Ivanovic, M.D.
-
Sally Larosa, NP
-
John F Lesko, M.D.
-
Deanna Lyons, DC
-
Tracy Lyons, DC
-
Dee Ann M Smith, MD
-
Gail T. Wagner, NP
-
Sharon Waski, NP
-
Cheryl R Zuccaro, MD
-
Kathleen Mary Grady, APRN-BC,FNP
-
David A Slosky, MD
National Provider Directory
Locations
7395 Solutions Ctr
Chicago, IL 60677
W62N179 Washington Ave
Ste 1
Cedarburg, WI 53012
N112W15568 Mequon Rd
Germantown, WI 53022
1500 W Market St
Mequon, WI 53092
Phone (262) 241-5955
13133 N Port Washington Rd
Ste 110
Mequon, WI 53097
Phone (262) 243-5501
2350 N Lake Dr
Ste 100
Milwaukee, WI 53211
Phone (414) 298-7250
4848 S 6th St
Milwaukee, WI 53221
Phone (414) 389-3111
2329 N LK Dr
Milwaukee, WI 53211
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950
515 E Mill St
Plymouth, WI 53073
Phone (920) 892-2395
830 E Green Bay Ave
Ste 100
Saukville, WI 53080
Phone (262) 284-7117
1901 E Capitol Dr
Shorewood, WI 53211
Phone (414) 424-5300
11725 N Port Washington Rd
#150
Thiensville, WI 53092
11725 N Port Washington Rd
#200
Thiensville, WI 53092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
13111 N Port Washington Rd
Mequon, WI 53097-2416
Mailing address
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32869300 | Medicaid | WI | |
| 21262500, 21268700 | Medicaid | WI | |
| 21262700, 21262400 | Medicaid | WI | |
| 21279900 | Medicaid | WI | |
| 32757400, 21262600 | Medicaid | WI | |
| 38997300, 21273300 | Medicaid | WI |
Other names
- Ascension Columbia St Mary's Hospital Ozaukee
Other providers in Mequon, WI
- Colab Physicians, SC
- Madalynn Collins
- Columbia Center, Inc.
- Columbia St Mary'S Hospital Ozaukee, Inc.
- Columbia St Mary'S Hospital Ozaukee, Inc.
- Columbia St Mary'S Hospital Ozaukee, Inc.
- Columbia St. Mary'S Hospital Milwaukee Inc
- Columbia St. Mary'S Hospital Milwaukee, Inc
- Elona Como
- Comprehensive Dental Services LTD
All providers in Mequon, 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 Nov 23, 2021. 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.