NPIMap

Organization Active NPI

Ascension Medical Group - Southeast Wisconsin, Inc.

  • Multi-Specialty Clinic/Center
  • South Milwaukee, WI
National Provider Identifier
1821757378
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
1001 15TH Ave # Door56
South Milwaukee, WI 53172-1503
Phone
(414) 766-5878
NPI assigned
Dec 13, 2021
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.As 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
(414) 465-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

1001 15TH Ave # Door56
South Milwaukee, WI 53172-1503

Mailing address

1186 Appleton Rd
Menasha, WI 54952-1906
Phone (715) 295-5280

Other names 1

  • Ascension Wisconsin Employer Solutions Other name

National Provider Directory

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

Other organizations with this tax ID 14

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

View all 14

Locations

1186 Appleton Rd
Menasha, WI 54952
Phone (920) 727-8700

1001 15th Ave
#56
South Milwaukee, WI 53172
Phone (414) 766-5878

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1821757378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521906",
            "telephone_number": "715-295-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE # DOOR56",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721503",
            "telephone_number": "414-766-5878"
        }
    ],
    "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": "2021-12-13",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "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": "414-465-3600"
    },
    "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",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ascension Wisconsin Employer Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Milwaukee, 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.