Active NPI
Oak Leaf Surgical Hospital LLC
- Special Hospital
- Altoona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 8124-042
- Legal business name
- OAK LEAF SURGICAL HOSPITAL LLC
- Practice address
- 1000 Oakleaf Way
Altoona, WI 54720-2246 - Phone
- (715) 831-8130
- Fax
- (715) 839-1737
- NPI assigned
- Nov 4, 2005
- Last updated
- Sep 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer B Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Special Hospital | 284300000X | 8124-042 | WI | Primary |
Addresses
Primary practice location
1000 Oakleaf Way
Altoona, WI 54720-2246
Mailing address
1000 Oakleaf Way
Altoona, WI 54720-2246
Phone (715) 831-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669463832. Details of each certification follow.
Hospital certification: CCN 520196
- Legal name
- OAK LEAF SURGICAL HOSPITAL LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 12, 2002
- Last certification
- Apr 5, 2017
- Beds
- 13
- Ownership / control type
- Physician ownership
- Organization structure
- LLC
- Incorporated
- May 7, 1997 in WI
- Enrollment address
- 1000 Oakleaf Way
Altoona, WI 54720-2246 - Hospital subgroups
- Specialty hospital
Care Compare: Hospital
Medicare Care Compare- Listed as
- Oakleaf Surgical Hospital
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider Directory- Tax ID family
- Healthsouth-Oakleaf Sur
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Altoona, WI
- NPI 1720713035
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba River Prairie Surgery Center
- Ambulatory Surgical Clinic/Center
- Altoona, WI
- NPI 1942025572
Member Of
Locations
1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130
1200 Oakleaf Way
Ste C
Altoona, WI 54720
Phone (715) 831-8130
3440 Oakwood Hills Pkwy
Eau Claire, WI 54701
Phone (715) 214-2525
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James E Nemeth | W-2 Managing Employee | Jul 10, 2023 | |
| SP Holdco I Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 64.35% |
| National Surgical Hospitals, LLC | 5% Or Greater Indirect Ownership Interest | Nov 30, 2012 | 64.35% |
| Jennifer B Baldock | Corporate Officer | Sep 1, 2017 | |
| FMR LLC | 5% Or Greater Indirect Ownership Interest | Nov 21, 2022 | 8.49% |
| Bcpe Seminole Holdings, LP | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 5.47% |
| NSH Wisconsin LLC | 5% Or Greater Direct Ownership Interest | Feb 3, 2011 | 64.35% |
| Surgery Partners Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 64.35% |
| Surgery Center Holdings Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 64.35% |
| Harrison R Bane | Other | Sep 1, 2024 | |
| Bcpe Seminole Holdings II Intermediate LP | 5% Or Greater Indirect Ownership Interest | Mar 31, 2023 | 15.32% |
| Surgery Center Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 64.35% |
Facilities with the same owner 25
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Special Hospital
- Franklin, WI
- NPI 1861635971
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
Bcpe Seminole Holdings II Intermediate LP, Bcpe Seminole Holdings, LP, FMR LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Bcpe Seminole Holdings, LP, National Surgical Hospitals, LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
Bcpe Seminole Holdings II Intermediate LP, National Surgical Hospitals, LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
Bcpe Seminole Holdings II Intermediate LP, Bcpe Seminole Holdings, LP, FMR LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1417950650
Bcpe Seminole Holdings II Intermediate LP, FMR LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Lafayette Surgical Specialty Hospital
- General Acute Care Hospital
- Lafayette, LA
- NPI 1134222565
Bcpe Seminole Holdings II Intermediate LP, National Surgical Hospitals, LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Lubbock Heart Hospital
- General Acute Care Hospital
- Lubbock, TX
- NPI 1922001775
Bcpe Seminole Holdings II Intermediate LP, Bcpe Seminole Holdings, LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- Special Hospital
- Omaha, NE
- NPI 1013122571
Bcpe Seminole Holdings II Intermediate LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
-
- General Acute Care Hospital
- Durham, NC
- NPI 1437221785
Bcpe Seminole Holdings II Intermediate LP, FMR LLC, National Surgical Hospitals, LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Surgery of the Hand (Surgery) Physician
- Altoona, WI
- NPI 1720244288
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Altoona, WI
- NPI 1962438069
Affiliated clinicians 105
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Certified Registered Nurse Anesthetist
- Eau Claire, WI
- NPI 1316103369
Hospital
-
- Certified Registered Nurse Anesthetist
- Eau Claire, WI
- NPI 1427480045
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1669463832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLEAF WAY",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202246",
"telephone_number": "715-831-8130",
"fax_number": "715-839-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKLEAF WAY",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202246",
"telephone_number": "715-831-8130",
"fax_number": "715-839-1737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK LEAF SURGICAL HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "WI",
"license": "8124-042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, WI
- Karen Renee Norman, MA, BCBA, LBA
- Northwoods Sport & Hand, Inc (Northwoods Therapy Associates)
- NSH Altoona LLC
- Ariane Nwabo, PHARMACIST
- Oak Leaf Surgery Center LLC (River Prairie Surgery Center)
- Oak Leaf Surgical Hospital, LLC
- Ashley A Obrien, PA
- Karen Narcelles Oemig, PT
- Connor Gustav Olson, PA-C, LAT, ATC
- Oral and Maxillofacial Surgery Asso of Eau Claire SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.