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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
NPI 1194330712
General Practice in Glendale, WI

Active since September 10, 2020CLIA 52D1049185 · Accreditation
375 W RIVER WOODS PKWY, GLENDALE, WI 53212(414) 326-1500 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2026, Jan 7, 2025, Nov 22, 2021 and 2 more (5 updates tracked since 2020).

About Columbia St. Mary's Hospital Milwaukee, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC (NPI 1194330712) is a healthcare organization registered as a general practice in Glendale, Wisconsin and active in the NPI registry since September 2020. The organization holds an CLIA Accreditation certificate valid through July 25, 2027, maintains a secondary practice location in Milwaukee, and lists Susan Dwyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194330712
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Location Address375 W RIVER WOODS PKWYGlendale, WI 53212-1080
Mailing Address375 W River Woods PkwyGlendale, WI 53212-1080 · (414) 326-1500
Phone(414) 326-1500
Organization SubpartNo
Authorized OfficialSusan DwyerCfo · (414) 465-3093
Enumeration DateSeptember 10, 2020
Last NPPES UpdateJuly 9, 20265 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1194330712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
375 W RIVER WOODS PKWY, Glendale, WI 53212
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Other Names 1

Other NameAscension Columbia St Mary's Milwaukee - River Woods

Secondary Practice Location 1

Location 13056 S Kinnickinnic AveMilwaukee, WI 53207-2583 · Phone (414) 326-2660

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Accreditation 52D1049185

Ascension Columbia St Mary's Milwaukee At River Woods Parkway Poc · Glendale, WI
Active · expires Jul 25, 2027
CLIA Number52D1049185
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDr. Joseph Novak
Laboratory Phone(414) 326-1500
Laboratory LocationAscension Columbia St Mary's Milwaukee At River Woods Parkway Poc375 W Riverwoods Pkwy, Glendale, WI 53212
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.
Anesthesiology
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 326-1800
DR. VALERIE B. LYON MD
Dermatology (Pediatric Dermatology)
375 W RIVER WOODS PKWY, SUITE 116
GLENDALE, WI 53212
Milwaukee County (414) 326-1563
MARY D WASHBURNE MD
Family Medicine
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 963-7100
LEAH TAYLOR DONOVAN R.N., A.P.N.P.
Nurse Practitioner (Family)
375 W RIVER WOODS PKWY, SUITE 205
GLENDALE, WI 53212
Milwaukee County (414) 961-7250
IHC-URGENT CARE SERVICES LLC
Emergency Medicine
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 290-6718

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 Columbia St. Mary's Hospital Milwaukee, Inc's NPI number?

The NPI number for Columbia St. Mary's Hospital Milwaukee, Inc is 1194330712. It was assigned to this organization in the NPPES registry on September 10, 2020. The provider is also known as Ascension Columbia St Mary's Milwaukee - River Woods.

Where is Columbia St. Mary's Hospital Milwaukee, Inc located?

Columbia St. Mary's Hospital Milwaukee, Inc is located at 375 W River Woods Pkwy, Glendale, WI 53212. The listed phone number is (414) 326-1500.

What is Columbia St. Mary's Hospital Milwaukee, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Columbia St. Mary's Hospital Milwaukee, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D1049185) is associated with this NPI, valid through July 25, 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 Columbia St. Mary's Hospital Milwaukee, Inc was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.