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ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC NPI 1609881077


NPI Information

NPI: 1609881077
Provider Name: ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

Doing Business As: ASCENSION MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
400 W RIVER WOODS PKWY
GLENDALE, WI
ZIP 53212
Phone: (414) 465-3000
Get Directions

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC is an internal medicine in Glendale, WI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC NPI is 1609881077. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ascension Medical Group.

The provider's business location address is:

400 W RIVER WOODS PKWY
GLENDALE, WI
ZIP 53212
Phone: (414) 465-3000

The provider's authorized official is J. Bryan Fissel .
The authorized official title is Vp-finance and has the following contact phone number (414) 465-3000.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyNo
2207N00000XDermatologyNo
3207Q00000XFamily MedicineNo
4207V00000XObstetrics & GynecologyNo
5207X00000XOrthopaedic SurgeryNo
6207Y00000XOtolaryngologyNo
7208000000XPediatricsNo
82084N0400XPsychiatry & NeurologyNeurologyNo
92085R0001XRadiologyRadiation OncologyNo
102085R0202XRadiologyDiagnostic RadiologyNo
112086S0129XSurgeryVascular SurgeryNo
12208800000XUrologyNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.