ASCENSION MEDICAL GROUP EMPLOYER SOLUTIONS
NPI 1003069428
Clinic/Center - Occupational Medicine in Menasha, WI
NPI Status: Active since October 29, 2008
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 37D1056486
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 12-27-2025
About ASCENSION MEDICAL GROUP EMPLOYER SOLUTIONS
This page provides the complete NPI Profile along with additional information for Ascension Medical Group Employer Solutions, a provider established in Menasha, Wisconsin operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1003069428 assigned on October 2008. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Ascension Medical Group Employer Solutions. The authorized official of this NPI record is Donna Owens (Vp-ascension Wi Employer Solutions)
- NPI
- 1003069428
- Provider Legal Name
- ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
- Other Organization Name
- ASCENSION MEDICAL GROUP EMPLOYER SOLUTIONS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1186 APPLETON RD MENASHA, WI 54952
- Location Phone
- (920) 727-8700
- Mailing Address
- 400 W RIVER WOODS PKWY GLENDALE, WI 53212
- Mailing Phone
- (414) 465-3600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-29-2008
- Last Update Date
- 01-10-2025
- Code Navigator
Location Map
Secondary Locations
- 5412 US Highway 10 E
Stevens Point, WI 54482
(715) 346-5243
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Occupational Medicine
- Taxonomy Code
- 261QX0100X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D1056486
- Facility Type
- Hospital
- Certificate Effective Date
- December 28, 2023
- Certificate Expiration Date
- December 27, 2025
- Laboratory Director
- DR. RYAN L. HENDREN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ascension Medical Group Employer Solutions on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 6 | 9 | 4 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 6 | 18 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 6 + 1 + 8 + 4 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1003069428 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528053097 | CHARLES A CAPASSO MD Individual | Preventive Medicine (Occupational Medicine) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1437146412 | BRIAN D HARRISON MD Individual | Preventive Medicine (Occupational Medicine) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1164693453 | LISA KASPEREK APNP Individual | Nurse Practitioner | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8733 |
| 1598759375 | RICHARD A MENET MD Individual | Preventive Medicine (Occupational Medicine) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1447565379 | MATTHEW J FELDBRUEGGE APNP Individual | Nurse Practitioner (Family) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1578972733 | GEORGINE WOOD MSN, RN, FNP-C Individual | Nurse Practitioner | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1295189686 | BRANDEN J KOOIMAN APNP Individual | Nurse Practitioner (Family) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1477909885 | JESSICA SCHMIDT Individual | Specialist/Technologist (Athletic Trainer) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
| 1467200758 | KIMBERLY ANN STEVENS APNP Individual | Nurse Practitioner (Family) | 1186 APPLETON RD MENASHA, WI 54952 (920) 727-8700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003069428, enumerated in the NPI registry as an "organization" on October 29, 2008
The provider is located at 1186 Appleton Rd Menasha, Wi 54952 and the phone number is (920) 727-8700
This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine
The provider's CLIA number is 37D1056486 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 29, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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