ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE
NPI 1376582775
Clinic/Center - Multi-Specialty in Mequon, WI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since June 05, 2006

13111 N PORT WASHINGTON RD, MEQUON, WI 53097(262) 243-7300 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 23, 2021, Sep 30, 2021, Aug 30, 2019 and 1 more (4 updates tracked since 2018).

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About Ascension Columbia St Mary's Hospital Ozaukee NPPES

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

ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE (NPI 1376582775) is a healthcare organization registered as a multi-specialty in Mequon, Wisconsin and active in the NPI registry since June 2006. The organization lists Matthew Hanselman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376582775

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCOLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.

Location Address13111 N PORT WASHINGTON RDMequon, WI 53097-2416

Mailing Address13111 N Port Washington RdMequon, WI 53097-2416 · (262) 243-7300

Phone(262) 243-7300

Organization SubpartNo

Authorized OfficialMatthew HanselmanCfo · (414) 465-3000

Enumeration DateJune 5, 2006

Last NPPES UpdateNovember 23, 20214 updates tracked since enumeration

NPPES CertifiedNovember 23, 2021

✔ NPI 1376582775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

13111 N PORT WASHINGTON RD, Mequon, WI 53097

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Other Names 1

Doing Business AsAscension Columbia St Mary's Hospital Ozaukee

Other Identifiers 6

Medicaid21279900WI

Medicaid38997300, 21273300WI

Medicaid21262700, 21262400WI

Medicaid32869300WI

Medicaid21262500, 21268700WI

Medicaid32757400, 21262600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

LOU ANN CAMPBELL-PETERSON OTR,CHT

Occupational Therapist (Hand)