NPIMap

Organization Active NPI

Midwest Orthopedic Specialty Hospital, LLC

  • Special Hospital
  • Franklin, WI
National Provider Identifier
1861635971
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 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
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Sheila Gansemer
Title
Ceo
Phone
(414) 325-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861635971. Details of each certification follow.

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
LLCProprietary
Incorporated
Dec 12, 2008 in WI
Enrollment address
10101 South 27TH Street
2ND Floor
Franklin, WI 53132-7209
Main/Primary Hospital Location
Hospital subgroups
Specialty hospital

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Midwest Orthopedic Specialty HospitalCCN 520205 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Midwest Orthopedic Specialty Hospital LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

16750 W Bluemound Rd
#160
Brookfield, WI 53005

3111 W Rawson Ave
Ste 125
Franklin, WI 53132
Phone (414) 895-1529

11415 W Burleigh St
#109
Milwaukee, WI 53222

8201 S Howell Ave
Ste 400
Oak Creek, WI 53154
Phone (414) 295-9045

11415 W Burleigh St
Ste 109
Wauwatosa, WI 53222
Phone (414) 239-9547

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
SP Holdco I Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2024 30.63%
Susan Dwyer Individual Corporate OfficerCfo May 11, 2026
W-2 Managing Employee May 11, 2026
Operational/Managerial ControlCfo May 11, 2026
Jennifer B Baldock Individual Corporate DirectorBoard Member Oct 1, 2025
Brian Cramer Individual Corporate DirectorBoard Member Jul 30, 2024
Surgery Partners Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2024 30.63%
Scott a Cihak Individual Corporate OfficerCoo/Ceo Apr 17, 2026
Robin Barten Individual W-2 Managing EmployeeNet Rev MGMT-MGR Nov 1, 2024
Midwest Orthopedic and Musculoskeletal Alliance, LLC Organization, Wauwatosa, WI LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 30, 2024 50%
Michael McCullough Individual Corporate OfficerCfo Oct 21, 2024
W-2 Managing EmployeeCfo Oct 21, 2024
Operational/Managerial ControlCfo Oct 21, 2024
Stephanie Hietpas Individual W-2 Managing EmployeeNet Rev MGMT-MGR Nov 1, 2024
William T Pennington Individual Corporate DirectorBoard of Director Member Dec 12, 2008
Surgery Center Holdings Inc Organization, Brentwood, TN Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 30, 2024 30.63%
Rexanne R Braun Individual W-2 Managing EmployeeEnrollment Coordinator Jul 1, 2019
Sheila Gansemer Individual Corporate OfficerPresident & Ceo Mar 20, 2022
W-2 Managing EmployeePresident & Ceo Dec 12, 2008
Operational/Managerial ControlPresident & Ceo Mar 20, 2022
Michael Corey Ridgway Individual Corporate DirectorBoard Member Jul 30, 2024
Jonathan Matuszewski Individual Corporate DirectorBoard Member Apr 30, 2024
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Mar 1, 2016
John a Schneider Individual Corporate DirectorBoard of Director Member Nov 3, 2016
Ascension Wisconsin, Inc Organization, Glendale, WI Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2026 50%
Operational/Managerial Control Jul 1, 2026 100%
Bcpe Seminole Holdings II Intermediate LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2024 7.11%
Surgery Center Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2024 30.63%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 182

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 182

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 96

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1861635971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 S 27TH ST FL 2",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327209",
            "telephone_number": "414-817-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 S 27TH ST FL 2",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327209",
            "telephone_number": "414-817-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "GANSEMER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-325-4589"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.