NPI
Ascension Medical Group-Southeast Wisconsin Inc
Doing business as Ascension Medical Group. NPI 1609881077
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-07-31
- Last updated
- 2026-07-08
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Specialties
- 207R00000XInternal Medicine · Primary
- 207K00000XAllergy & Immunology
- 207N00000XDermatology
- 207Q00000XFamily Medicine
- 207V00000XObstetrics & Gynecology
- 207X00000XOrthopaedic Surgery
- 207Y00000XOtolaryngology
- 208000000XPediatrics
- 2084N0400XPsychiatry & Neurology, Neurology
- 2085R0001X2085R0001X
- 2085R0202XRadiology, Diagnostic Radiology
- 2086S0129X2086S0129X
- 208800000XUrology
- 363A00000XPhysician Assistant
- 363L00000XNurse Practitioner
Licenses
The registry row did not include a license.
Location
- Practice location
- 400 W River Woods Pkwy
- City
- Glendale WI
- Postal code
- 53212
- Phone
- (414) 465-3000
Organization contact
- Name
- David Jirovec
- Title
- Finance Director
- Phone
- (715) 347-6655
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Glendale, WI. 793 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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