Organization Active NPI

Ascension Medical Group-Southeast Wisconsin Inc

  • Multi-Specialty Clinic/Center
  • Oak Creek, WI
National Provider Identifier
1649080722
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Family Pra15 organizations share this tax ID, including this one
Part of
Southeastern Family Pra

Other organizations with this tax ID 14

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

View all 14

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.

Verify at the official NPI Registry.