Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension NE Wisconsin, Inc

Organization Surgery Physician · NPI 1124075536

Ascension NE Wisconsin, Inc provides Surgery Physician services in Menasha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1550 Midway Pl
Menasha, WI 54952
Phone: (920) 720-1464
Fax: (920) 720-1728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Surgery Physician Taxonomy 208600000X
General Acute Care Hospital Taxonomy 282N00000X · Licence 88 (WI)

Record details

NPI number1124075536
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAscension NE Wisconsin, Inc
Authorized official Susan Dwyer — Cfo · (414) 465-3093
Other names Ascension Ne Wisconsin Surgery Center; Ascension Ne Wisconsin Surgery Center; Ascension Ne Wisconsin-St Elizabeth Surgery Center
NPI enumeratedMay 30, 2006
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address1550 Midway Pl, Menasha, WI 54952-1165