Organization Active NPI

Ascension Medical Group-Fox Valley Wisconsin, Inc

Doing business as Ascension Medical Group

  • Multi-Specialty Clinic/Center
  • Neenah, WI
National Provider Identifier
1730126392
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Doing business as
Ascension Medical Group
Practice address
101 Main St
Neenah, WI 54956-2570
Phone
(920) 727-4200
NPI assigned
Jun 1, 2006
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
David Jirovec
Title
Sr Finance Director - Medical Group
Phone
(715) 347-6655

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

101 Main St
Neenah, WI 54956-2570

Mailing address

101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200

Other names 1

  • Ascension Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000351 WI Part B Supplier - Clinic/Group Practice 0244142420 Receives reassigned benefits from 500 practitioners

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Harwood Medical Assoc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations (25 of 39)

1523 S Madison St
Appleton, WI 54915
Phone (920) 730-5378

1531 S Madison St
Fl 3
Appleton, WI 54915
Phone (920) 730-4413

1531 S Madison St
Ste 410
Appleton, WI 54915

1531 S Madison St
Ste 430
Appleton, WI 54915

1531 S Madison St
Ste 580
Appleton, WI 54915
Phone (920) 730-4411

1611 S Madison St
#104
Appleton, WI 54915

1611 S Madison St
Fl 2
Appleton, WI 54915

5118 N Cherryvale Ave
Appleton, WI 54913
Phone (920) 997-8090

W2613 Barney Ct
Appleton, WI 54915
Phone (920) 991-2482

17000 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 207-4680

323 Field Ln
Chilton, WI 53014
Phone (920) 849-4657

61 Anne St
Clintonville, WI 54929
Phone (715) 823-4777

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

W6981 Parkview Dr
Ste D
Greenville, WI 54942

310 N Olk St
Hortonville, WI 54944

505 Belitz Dr
Kiel, WI 53042

816 Schelfhout Ln
Kimberly, WI 54136
Phone (920) 788-2300

1050 Fountain Way
Menasha, WI 54952
Phone (920) 993-9980

1700 Midway Rd
Menasha, WI 54952
Phone (920) 739-0111

13133 N Port Washington Rd
Ste G06
Mequon, WI 53097
Phone (262) 243-8371

200 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 358-1223

2100 Winchester Rd
Neenah, WI 54956
Phone (920) 721-4406

900 W American Dr
Neenah, WI 54956

990 West American Dr
Neenah, WI 54956
Phone (920) 886-3982

2700 W 9th Ave
#106
Oshkosh, WI 54904

Practitioners & affiliated clinicians

Practitioners 546

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 546

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1730126392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562570",
            "telephone_number": "920-727-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562570",
            "telephone_number": "920-727-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "JIROVEC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SR FINANCE DIRECTOR - MEDICAL GROUP",
        "authorized_official_telephone_number": "715-347-6655"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.