Midwest Orthopedic Specialty Hospital, LLC
Organization Active NPI Special Hospital · Franklin, WI
NPI 1861635971 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1861635971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Special Hospital 284300000X
- Legal business name
- MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
- Practice address
- 10101 S 27TH St FL 2
Franklin, WI 53132-7209 - Phone
- (414) 817-5800
- NPI assigned
- Apr 20, 2009
- Organization subpart
- No
Authorized official
- Name
- Sheila Gansemer
- Title
- Ceo
- Phone
- (414) 325-4589
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 9
Facilities with the same owner 182
Practitioners 66
-
Amin Afsari, DO
-
Steven P. Anderson, M.D.
-
Bindu S. Bamrah, M.D.
-
Brian John Bedalov, M.S.P.T.
-
Richard L. Bigalk, P.T.
-
Timothy R Biron, PT, DPT
-
Steven Croyle, PA
-
James E Daun, PT
-
Jamie O Edwards, MD
-
Andy J. Feld, P.T.
-
Boris Gigov, PT, DPT
-
Andrew E Gottheardt, OTR/L, CHT
-
Lauren Gryniewicz, P.T.
-
Sara Hartl, PT, DPT
-
Amy Jo Helminski, PT MS OCS
-
Jake R Hobbs, PA
-
John Hojnacki, D.P.T.
-
Jenna Rae Holentunder, PA-C
-
Nicole Ann Hoover, OTR
Affiliated clinicians 96
-
Amin Afsari, DO
-
Saleem Aman, MD
-
Steven P. Anderson, M.D.
-
Eyerusalem Asfaw, MD
-
Bindu S. Bamrah, M.D.
-
Gonzalo Barinaga, M.D.
-
Brian A Bartz, PA-C
-
Adam Beyer, P.A.
-
Eric Michael Blaschke, M.D.
-
Mark R Bradley, D.O.
-
Jeffrey J Butler, MD
-
Manfred C Chiang, MD
-
Mark A. Clemence, M.D.
-
Kevin Cooper, DO
-
David James Coulter, D.O.
-
Steven Croyle, PA
-
Gretchen R Dean, DO
-
Pankaj K Dhingra, MD
-
Gina Elaine Edson, APNP
-
Jamie O Edwards, MD
-
Christopher J. Evanich, M.D.
-
Thomas G Fenske, M.D.
Medicare Care Compare: Hospital
- Listed as
- Midwest Orthopedic Specialty Hospital
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Hospital certification: CCN 520205
- Legal name
- MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
- Doing business as
- ASCENSION WISCONSIN
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Aug 19, 2009
- Last certification
- May 22, 2018
- Beds
- 16
- Ownership / control type
- Physician ownership
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 12, 2008 in WI
- Enrollment address
- 10101 South 27TH Street
2ND Floor
Franklin, WI 53132-7209 - Hospital subgroups
- Specialty hospital
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| SP Holdco I Inc |
5% Or Greater Indirect Ownership Interest | Apr 30, 2024 | 30.63% |
| Susan Dwyer |
Corporate Officer |
May 11, 2026 | |
| W-2 Managing Employee | May 11, 2026 | ||
| Operational/Managerial Control |
May 11, 2026 | ||
| Jennifer B Baldock |
Corporate Director |
Oct 1, 2025 | |
| Brian Cramer |
Corporate Director |
Jul 30, 2024 | |
| Surgery Partners Inc |
5% Or Greater Indirect Ownership Interest | Apr 30, 2024 | 30.63% |
| Scott a Cihak |
Corporate Officer |
Apr 17, 2026 | |
| Robin Barten |
W-2 Managing Employee |
Nov 1, 2024 | |
| Midwest Orthopedic and Musculoskeletal Alliance, LLC |
5% Or Greater Direct Ownership Interest | Apr 30, 2024 | 50% |
| Michael McCullough |
Corporate Officer |
Oct 21, 2024 | |
| W-2 Managing Employee |
Oct 21, 2024 | ||
| Operational/Managerial Control |
Oct 21, 2024 | ||
| Stephanie Hietpas |
W-2 Managing Employee |
Nov 1, 2024 | |
| William T Pennington |
Corporate Director |
Dec 12, 2008 | |
| Surgery Center Holdings Inc |
5% Or Greater Indirect Ownership Interest | Apr 30, 2024 | 30.63% |
| Rexanne R Braun |
W-2 Managing Employee |
Jul 1, 2019 | |
| Sheila Gansemer |
Corporate Officer |
Mar 20, 2022 | |
| W-2 Managing Employee |
Dec 12, 2008 | ||
| Operational/Managerial Control |
Mar 20, 2022 | ||
| Michael Corey Ridgway |
Corporate Director |
Jul 30, 2024 | |
| Jonathan Matuszewski |
Corporate Director |
Apr 30, 2024 | |
| Ascension Health |
Operational/Managerial Control | Mar 1, 2016 | |
| John a Schneider |
Corporate Director |
Nov 3, 2016 | |
| Ascension Wisconsin, Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2026 | 50% |
| Operational/Managerial Control | Jul 1, 2026 | 100% | |
| Bcpe Seminole Holdings II Intermediate LP |
5% Or Greater Indirect Ownership Interest | Apr 30, 2024 | 7.11% |
| Surgery Center Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 30, 2024 | 30.63% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090619000238 | WI | Part a Provider - Hospital | 7113078833 | Practice locations: Greenfield, WI; West Allis, WI; Wauwatosa, WI; Oak Creek, WI; Muskego, WI; Mequon, WI; Hales Corners, WI; Franklin, WI… |
National Provider Directory
- Tax ID family
- Midwest Orthopedic Specialty Hospital LLC
Locations
16750 W Bluemound Rd
#160
Brookfield, WI 53005
3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727
1516 W Mequon Rd
Mequon, WI 53092
Phone (262) 299-6092
3033 W Layton Ave
Milwaukee, WI 53221
Phone (414) 647-0033
11415 W Burleigh St
#109
Milwaukee, WI 53222
8201 S Howell Ave
Oak Creek, WI 53154
Phone (414) 295-9045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | Yes |
Addresses
Primary practice location
10101 S 27TH St FL 2
Franklin, WI 53132-7209
Mailing address
10101 S 27TH St FL 2
Franklin, WI 53132-7209
Phone (414) 817-5800
Other providers in Franklin, WI
- Michael G. Minter MDSC
- Crystal Michalak
- Michelle L. Lamers, D.D.S, L.L.C.
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Orthopedic Specialty Hospital, LLC
- Andrea Agnes Miklosi
- Douglas Milosavljevic
- Milwaukee Clinic of Ortho Surgery, LTD.
- Milwaukee Eye Care Associates S.C.
- Milwaukee Sports Therapy
All providers in Franklin, WI · Special Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.