ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC – NPI #1124286422
Clinic/Center

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC is an AHC clinic located in APPLETON, WI. NPPES has assigned the NPI number 1124286422 to ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC on May 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on May 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC below.

NPI Profile for
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

NPI Number
1124286422
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Primary location
1506 S ONEIDA ST
5TH FLOOR
APPLETON, WI 54915
Phone: (920) 730-4950 Fax:
Mailing address
1506 S ONEIDA ST FL 5
APPLETON, WI 54915-1305
Phone: (920) 738-2000 Fax:
Organization Subpart
No
Authorized Official
DAVID JIROVEC
SR FINANCE DIRECTOR - MEDICAL GROUP
Phone: (715) 347-6655
Updated
Certification Date
May 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI32752000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.