NPIMap

Organization Active NPI

Ascension Medical Group-Fox Valley Wisconsin, Inc

  • Cardiovascular Disease Physician
  • Appleton, WI
National Provider Identifier
1831890177
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Practice address
5045 W Grande Market Dr
Appleton, WI 54913-8517
Phone
(920) 886-9380
NPI assigned
Mar 14, 2023
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

5045 W Grande Market Dr
Appleton, WI 54913-8517

Mailing address

PO Box 850005
Minneapolis, MN 55485-0005

Other names 1

  • AMG Heart & Vascular Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706002797 WI Part B Supplier - Clinic/Group Practice 0244142420 Receives reassigned benefits from 36 practitioners
Practice locations: Appleton, WI; Neenah, WI

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2163824Ascension Medical Group-Fox Valley Wisconsin, Inc5045 W Grande Market Drive, Appleton, WI 54913ComplianceMay 1, 2028

National Provider Directory

National Provider Directory

Locations

1506 S Oneida St
Fl 4
Appleton, WI 54915

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

1531 S Madison St
#350
Appleton, WI 54915
Phone (920) 730-4413

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

1531 S Madison St
Ste 350
Appleton, WI 54915
Phone (920) 730-4413

N9642 County Trunk N
Appleton, WI 54915
Phone (920) 628-1500

W7098 Buttercup Ct
Greenville, WI 54942
Phone (920) 757-0996

878 W Airport Rd
Menasha, WI 54952
Phone (920) 727-5982

1706 Hoover St
New Holstein, WI 53061
Phone (920) 476-1149

1128 E Parkway Ave
Oshkosh, WI 54901
Phone (920) 223-4410

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

500 S Oakwood Rd
#3D
Oshkosh, WI 54904
Phone (920) 223-0554

530 N Union St
Ripon, WI 54971
Phone (920) 268-6429

Practitioners & affiliated clinicians

Practitioners 621

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 621

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1831890177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850005",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554850005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138517",
            "telephone_number": "920-886-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMG Heart & Vascular",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AMG Heart & Vascular",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Appleton, 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.
  • 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.

Verify at the official NPI Registry.