Wisconsin Ambulatory Surgical Center Provider Directory

Department of Health Services Division of Quality Assurance

Ambulatory Surgical Center Provider Directory by Name

Provider #

Lic # Fac #

Facility

52C0001124 ASC123

ADVANCED SPINE CENTER OF WISCONSIN

1380 TULLAR RD NEENAH, WI 54956

ADVANCED SURGICAL AND RESTORATIVE CARE, LLC

1470 River's Edge Trail, Suite B IQ00000001289579 Altoona, WI 54720

52C0001090 ASC86

ALEXANDER EYE SURGERY CENTER

250 NORTH METRO DRIVE APPLETON, WI 54913

Administrator Sub. Administrator County Region

KARNS, KRISTOPHER

WINNEBAGO

,

Eau Claire

JAROSZ, KIM

OUTAGAMIE

Services Provided:

Opthalmology

52C0001068 ASC69

AMBULATORY SURGICAL CENTER OF STEVENS POINT

500 VINCENT ST STE A STEVENS POINT, WI 54481

ZIEGLER-OTIS, REBECCA PORTAGE

Services Provided:

Foot, Opthalmology, Orthopedic, Pain Management, Urology

08/22/2023

Phone Fax Accredited Participation Date

(920) 215-3603

YES 08/28/2019 (715) 930-1937 (715) 318-0890 YES

(920) 830-2020 (920) 830-1118

07/28/2010

(715) 345-0500 (715) 345-0400

10/26/2006

Department of Health Services Division of Quality Assurance

Ambulatory Surgical Center Provider Directory by Name

Provider # Lic # Fac #

52C0001034

ASC32

Facility

AMBULATORY SURGICAL CTR 501 DOCTORS CT OSHKOSH, WI 54901

Administrator Sub. Administrator County Region

STINDT, ALLISON

WINNEBAGO

Services Provided:

Opthalmology

52C0001046 ASC43

ARTHROSCOPIC SURGERY CENTER

277 ALTENHOFEN DR APPLETON, WI 54913

WEGENER, LISA OUTAGAMIE

Services Provided:

Ob/Gyn, Orthopedic

52C0001136 ASC134

ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LITZEN, TRACY

10180 WASHINGTON AVE, SUITE 200 MOUNT PLEASANT, WI 53177

ADAMS

52C0001126 ASC124

AURORA 84 SOUTH AMBULATORY SURGERY CENTER

9000 WEST SURA LANE GREENFIELD, WI 53228

KILLORAN, CARRIE MILWAUKEE

08/22/2023

Phone Fax Accredited Participation Date

(920) 236-3550 (920) 236-3548 04/04/1999

(920) 993-1643 (920) 993-1645 YES 04/24/2001

(262) 687-7590 YES 08/06/2021 (414) 246-6800 YES 09/30/2019

Department of Health Services Division of Quality Assurance

Ambulatory Surgical Center Provider Directory by Name

Provider # Lic # Fac #

52C0001113

ASC111

Facility

AURORA HEALTHCARE - GERMANTOWN W180 N11070 RIVER LANE RD GERMANTOWN, WI 53022

Administrator Sub. Administrator County Region

KILLORAN, CARRIE

WASHINGTON

Services Provided:

Gastoenterology, Ob/Gyn, Otolaryngology, Pain Management, Surgery, Urology

52C0001130 ASC126

AURORA PLEASANT PRAIRIE AMBULATORY SURGERY CENTER JAMIESON, DONNA

12500 AURORA DR KENOSHA, WI 53158

KENOSHA

52C0001129 ASC127

BAYCARE AURORA KAUKAUNA SURGERY CENTER LLC

1500 ARBOR WAY KAUKAUNA, WI 54130

MILLER, THOMAS CALUMET

52C0001115 ASC114

BELLIN HEALTH MARINETTE SURGERY CENTER

2820 ROOSEVELT RD MARINETTE, WI 54143

CORMIER, LAURA MARINETTE

Services Provided:

Gastoenterology, Ob/Gyn, Opthalmology, Otolaryngology, Podiatry

08/22/2023

Phone Fax Accredited Participation Date

(262) 532-9777 (262) 532-9778 YES 11/02/2016

(262) 857-6000

YES 01/27/2021 (920) 372-7150 (414) 389-1509 YES 12/22/2020 (715) 735-5225

YES 10/09/2017

Department of Health Services Division of Quality Assurance

Provider #

Lic # Fac #

Facility

52C0001081 ASC 78

BJOSC LLC

225000 HUMMINGBIRD RD WAUSAU, WI 54401

Services Provided:

Orthopedic, Pain Management, Podiatry

52C0001123 ASC113

BJOSC, LLC

1767 PARK AVE SUITE 300 PLOVER, WI 54467

52C0001141 ASC139

BJOSC, LLC

400 Westwood Dr., Suite 200 Wausau, WI 54401

52C0001051 ASC46

BLUEMOUND SURGERY CTR

N4 W22370 BLUEMOUND RD WAUKESHA, WI 53186

Services Provided:

Ob/Gyn, Orthopedic, Pain Management, Plastic

Ambulatory Surgical Center Provider Directory by Name

Administrator Sub. Administrator County Region

OKEY, SUZI MARATHON

OKEY, SUZI PORTAGE OKEY, SUZI Marathon KORKOS, THOMAS WAUKESHA

08/22/2023

Phone Fax Accredited Participation Date

(715) 359-7592 (715) 359-7605 YES 10/10/2008

(715) 344-1260 (715) 359-7605 YES 06/07/2019 (715) 842-7246 (715) 393-0390 YES

(262) 522-6400 (262) 970-5660 YES 11/14/2002

Department of Health Services Division of Quality Assurance

Ambulatory Surgical Center Provider Directory by Name

Provider # Lic # Fac #

52C0001025

ASC3

Facility

CENTER FOR DIGESTIVE HEALTH 2801 W KINNICKINNIC RVR PKWY #1060 MILWAUKEE, WI 53215

Administrator Sub. Administrator County Region

KWECH, ROBERT

MILWAUKEE

Services Provided:

Other

52C0001118 ASC117

DREXEL TOWN SQUARE SURGERY CENTER

7901 S 6TH ST, 2ND FLOOR OAK CREEK, WI 53154

52C0001057 ASC54

EAST MEQUON SURGERY CTR

12203 CORPORATE PKWY MEQUON, WI 53092

GROCHOWSKI, BRIAN MILWAUKEE KILLORAN, CARRIE OZAUKEE

Services Provided:

Foot, General, Laboratory, Obstetrics, Orthopedic, Pharmacy, Plastic, Radiology (Diagnostic)

52C0001101 ASC99

EC LASER AND SURGERY INSTITUTE OF WI

800 NORTH FIRST ST SUITE 100 WAUSAU, WI 54403

PILECKI, KORTNEY MARATHON

Services Provided:

Opthalmology, Plastic

08/22/2023

Phone Fax Accredited Participation Date

(414) 908-6600 (414) 908-6508 08/17/1994

(414) 346-8300 (414) 346-8310 YES 05/04/2018 (262) 387-8383 (262) 387-8384 05/06/2004

(715) 298-5500

12/20/2012

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