ASCENSION MEDICAL GROUP
NPI 1588831739
Clinic/Center - Multi-Specialty in Chilton, WI

NPI Status: Active since May 15, 2008

Contact Information

618 MEMORIAL DR
CHILTON, WI
ZIP 53014
Phone: (920) 849-3800

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About ASCENSION MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Ascension Medical Group, a provider established in Chilton, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1588831739 assigned on May 2008. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Ascension Medical Group. The authorized official of this NPI record is J. Bryan Fissel (Vp-finance)

NPI
1588831739
Provider Legal Name
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Other Organization Name
ASCENSION MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
618 MEMORIAL DR CHILTON, WI 53014
Location Phone
(920) 849-3800
Mailing Address
618 MEMORIAL DR CHILTON, WI 53014
Mailing Phone
(920) 738-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2008
Last Update Date
03-27-2023
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Location Map

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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

J. BRYAN FISSEL

Authorized Official Title
VP-FINANCE
Authorized Official Phone
(414) 465-3000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
32752000MEDICAID (05)WI 

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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.
1588831739
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168163276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 3 + 2 + 7 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1588831739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235123233 GENE A TIPLER MD
Individual
Family Medicine618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-7734
1518951425 CHRISTINE M BOCKHORN MD
Individual
Family Medicine618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-7734
1538154026 PETER G JANU MD
Individual
Surgery618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3823
1396726766 CRAIG D RABIDEAU CST
Individual
618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800
1124086640 LISA KAYE SCHABACH APNP
Individual
Nurse Practitioner618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-7734
1639555311 SHARON M KAPLON DNP, APNP
Individual
Nurse Practitioner (Family)618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800
1720412299 JESSICA JANNETTE HENDRICKS ANP-BC
Individual
Nurse Practitioner (Adult Health)618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800
1659482180 SARAH MARIE SCHULTZ RN, CFNP
Individual
Nurse Practitioner (Family)618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3823
1942695713 BENJAMIN DELLARIA
Individual
Family Medicine618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800
1417053281ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Organization
Durable Medical Equipment & Medical Supplies618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800
1699131482 AMANDA HACKBARTH APNP
Individual
Nurse Practitioner (Adult Health)618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800
1194256040 ANDREW BEINE MD
Individual
Family Medicine618 MEMORIAL DR
CHILTON, WI 53014
(920) 849-3800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588831739, enumerated in the NPI registry as an "organization" on May 15, 2008

The provider is located at 618 Memorial Dr Chilton, Wi 53014 and the phone number is (920) 849-3800

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 15, 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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