ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC - NPI 1427154228 - Durable Medical Equipment & Medical Supplies in Greenville, WI

Q: What is Ascension Medical Group-Fox Valley Wisconsin, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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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 1427154228), doing business as Ascension Medical Group, is a healthcare organization registered as a durable medical equipment & medical supplies in Greenville, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists David Jirovec, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1427154228

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

Location AddressW6981 PARKVIEW DRGreenville, WI 54942

Mailing Address1550 Midway PlMenasha, WI 54952-1165 · (920) 738-2000

Phone(920) 882-2400

Organization SubpartNo

Authorized OfficialDavid JirovecFinance Director · (715) 347-6655

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1427154228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

W6981 PARKVIEW DR, Greenville, WI 54942

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Other Names 1

Doing Business AsAscension Medical 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 Waiver 52D1038675

Ascension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · Greenville, WI

Active · expires Jun 30, 2028

CLIA Number52D1038675

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2026

Certificate Expiration DateJune 30, 2028

Laboratory DirectorDr. David J. Dedrick

Laboratory Phone(920) 380-2729

Laboratory LocationAscension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical GroupW6981 Parkview Dr, Greenville, WI 54942

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

JOSEPH J SCHUMANN MD

Family Medicine