St Mary's Dean Ventures Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST MARY'S DEAN VENTURES INC

Doing business as

Riverview Surgery Center

Practice address

616 N Washington St
Janesville, WI 53545

Phone

(608) 745-7300

NPI assigned

Nov 14, 2006

Last updated

Oct 29, 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

Amy J Grinnell

Title

Chief Financial Officer

Phone

(608) 260-3586

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Riverview Surgery Center Doing business as

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1699847715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259317",
            "address_2": "1808 W BELTLINE HWY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537259317",
            "telephone_number": "608-250-1316",
            "fax_number": "608-250-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N WASHINGTON ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545",
            "telephone_number": "608-745-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S DEAN VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GRINNELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "608-260-3586"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41908900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "544584",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverview Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Health Care of Wisconsin Inc
• SSM Health Care of Wisconsin Inc
• SSM Health Care of Wisconsin Inc
• SSM Health Care of Wisconsin, Inc. (SSM Health St. Mary's Hospital - Janesville)
• SSM Health Care of Wisconsin, Inc. (SSM Health St. Mary's Hospital - Janesville)
• Jayme St. John
• John C Stagg, D.C.
• Michelle Stahl, APNP-CNP
• Jared L Stahlecker, MD
• Ashton G. Stair, OT

• Ambulatory Surgical Clinic/Center in Janesville, WI
• Providers in Janesville, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.