ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
NPI 1073770558
Clinic/Center - Multi-Specialty in Appleton, WI
About Ascension Medical Group-fox Valley Wisconsin, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI 1073770558), doing business as Ascension Medical Group, is a healthcare organization registered as a multi-specialty in Appleton, Wisconsin and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists David Jirovec, Sr Finance Director - Medical Group, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D0397569
Ascension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · Appleton, WIOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54915
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ascension Medical Group-Fox Valley Wisconsin, Inc's NPI number?
The NPI number for Ascension Medical Group-Fox Valley Wisconsin, Inc is 1073770558. It was assigned to this organization in the NPPES registry on May 21, 2008. The provider is doing business as Ascension Medical Group.
Where is Ascension Medical Group-Fox Valley Wisconsin, Inc located?
Ascension Medical Group-Fox Valley Wisconsin, Inc is located at 1531 S Madison St Ste 580, Appleton, WI 54915. The listed phone number is (920) 738-2000.
What is Ascension Medical Group-Fox Valley Wisconsin, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Ascension Medical Group-Fox Valley Wisconsin, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0397569) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ascension Medical Group-Fox Valley Wisconsin, Inc was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ascension Medical Group-Fox Valley Wisconsin, Inc · NPI 1073770558
Multi-Specialty organization in Appleton, Wisconsin. Organization record, active in the CMS NPPES registry since May 21, 2008.
## Identity
- **NPI:** 1073770558 (Entity type: Organization)
- **Enumerated:** May 21, 2008
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Ascension Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Jirovec, SR FINANCE DIRECTOR - MEDICAL GROUP
## Practice location
- **Address:** 1531 S MADISON ST STE 580, Appleton, WI 54915
- **Phone:** (920) 738-2000
## Record status
- **NPPES last updated:** May 19, 2026
- **Other identifiers:** Medicaid 32752000 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073770558) · Data from the CMS NPPES public registry.