COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC – NPI #1194330712
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC is a provider located in GLENDALE, WI. NPPES has assigned the NPI number 1194330712 to COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC on September 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC is also known by the name ASCENSION COLUMBIA ST MARY'S MILWAUKEE - RIVER WOODS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 07, 2025. 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 COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC below.

NPI Profile for
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC

NPI Number
1194330712
Enumeration Date

(about 6 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
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Other Name: ASCENSION COLUMBIA ST MARY'S MILWAUKEE - RIVER WOODS
Primary location
375 W RIVER WOODS PKWY
GLENDALE, WI 53212-1080
Phone: (414) 326-1500 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL MCCULLOUGH
CFO
Phone: (414) 465-3736
Updated
Certification Date
Jan 07, 2025

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.

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
208D00000X
- General Practice (Primary)
207Q00000X
- Family Medicine

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.