Organization Active NPI

Columbia St. Mary's Hospital Milwaukee, Inc

Doing business as Ascension Columbia St Mary's Hospital Milwaukee

  • Multi-Specialty Clinic/Center
  • Mequon, WI
National Provider Identifier
1710928221
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Doing business as
Ascension Columbia St Mary's Hospital Milwaukee
Practice address
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone
(414) 270-4932
NPI assigned
Jun 8, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Dwyer
Title
Cfo
Phone
(414) 465-3093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

13111 N Port Washington Rd
Mequon, WI 53097-2416

Mailing address

PO Box 773380
Chicago, IL 60677-3380
Phone (414) 291-1000

Other identifiers 1

IdentifierTypeStateIssuer
100008370MedicaidWI

Other names 1

  • Ascension Columbia St Mary's Hospital Milwaukee Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000057 WI Part B Supplier - Clinic/Group Practice 5890604722 Receives reassigned benefits from 914 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 54)

7410 Solutions Ctr
Chicago, IL 60677

710 E 24th St
Ste 304
Minneapolis, MN 55404
Phone (612) 871-2292

15320 Minnetonka Blvd
Minnetonka, MN 55345

6440 S Millrock Dr
Salt Lake City, UT 84121
Phone (801) 630-3000

4425 N Port Washington Rd
#327
Glendale, WI 53212

2061 Cheyenne Ct
Grafton, WI 53024
Phone (262) 243-4924

13111 N Port Washington Rd
#121
Mequon, WI 53097

13133 N Port Washington Rd
Ste 102
Mequon, WI 53097
Phone (414) 961-0089

13133 N Port Washington Rd
Ste 206
Mequon, WI 53097
Phone (262) 243-5044

13133 N Port Washington Rd
Ste 214
Mequon, WI 53097

13133 N Port Washington Rd
Ste G16
Mequon, WI 53097
Phone (262) 243-2500

10900 W Capitol Dr
Milwaukee, WI 53222

1730 S 13th St
Milwaukee, WI 53204
Phone (414) 383-3220

2015 E Newport Ave
Ste 201
Milwaukee, WI 53211

2015 E Newport Ave
Ste 209
Milwaukee, WI 53211

2015 E Newport Ave
Ste 413
Milwaukee, WI 53211

2015 E Newport Ave
Ste 600
Milwaukee, WI 53211
Phone (414) 383-6262

2015 E Newport Ave
Ste M114
Milwaukee, WI 53211

2025 E Newport Ave
Ste 217
Milwaukee, WI 53211
Phone (414) 961-4426

2025 E Newport Ave
Ste 404
Milwaukee, WI 53211
Phone (414) 961-5520

2025 E Newport Ave
Ste 409
Milwaukee, WI 53211

2243 N Prospect Ave
Milwaukee, WI 53202

2301 N Lake Dr
#1577
Milwaukee, WI 53211

2301 N Lake Dr
Fl 2
Milwaukee, WI 53211
Phone (414) 585-1066

2301 N Lake Dr
Ste 1327
Milwaukee, WI 53211

Practitioners & affiliated clinicians

Practitioners 381

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.

View all 381

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1710928221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773380",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773380",
            "telephone_number": "414-291-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972416",
            "telephone_number": "414-270-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3093"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008370",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Columbia St Mary's Hospital Milwaukee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.