Active NPI
Ascension Medical Group-Southeast Wisconsin Inc
- Multi-Specialty Clinic/Center
- Oak Creek, WI
National Provider Identifier
1649080722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
- Practice address
- 8640 S Howell Ave
Oak Creek, WI 53154-2918 - Phone
- (414) 465-3600
- NPI assigned
- Jan 10, 2025
- Organization subpart
- Yes
- Parent organization
- ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Owens
- Title
- VP Ascension Wi Employer Solutions
- Phone
- (262) 378-0347
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
8640 S Howell Ave
Oak Creek, WI 53154-2918
Mailing address
2700 W 9TH Ave Ste 101a
Oshkosh, WI 54904-7201
Phone (414) 465-3600
Other names 1
- ASCENSION WISCONSIN EMPLOYER SOLUTIONS- Oak Creek Franklin SD
National Provider Directory
National Provider Directory- Tax ID family
- Southeastern Family Pra
- Part of
- Southeastern Family Pra
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1649080722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 W 9TH AVE STE 101A",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047201",
"telephone_number": "414-465-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542918",
"telephone_number": "414-465-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "VP ASCENSION WI EMPLOYER SOLUTIONS",
"authorized_official_telephone_number": "262-378-0347"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ASCENSION WISCONSIN EMPLOYER SOLUTIONS- Oak Creek Franklin SD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.