Aurora Medical Group, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Sturgeon Bay, WI

NPI 1003961467 · NPPES record last updated Oct 16, 2025

Key facts

NPI
1003961467
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AURORA MEDICAL GROUP, INC.
Practice address
1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone
(920) 746-7200
NPI assigned
Jan 24, 2007
Organization subpart
No

Authorized official

Name
Kara Richardson
Title
Assistant Treasurer
Phone
(704) 631-0450

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aurora Baycare Medical Center
Green Bay, WI · CCN 520193
Hospital 5% Or Greater Direct Ownership Interest (62%) Oct 26, 2010
Evergreen Health Center
Oshkosh, WI · CCN 525647
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 15, 2025
Jan 15, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930026295 WI DME Supplier - Multi-Specialty - Physician 6709794258 Practice locations: Sturgeon Bay, WI

National Provider Directory

Tax ID family
Doctors Clinic of Elkh (55 organizations share this tax ID)

Locations

1910 Alabama St
Sturgeon Bay, WI 54235
Phone (920) 746-7200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1910 Alabama St
Sturgeon Bay, WI 54235-3532

Mailing address

1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Sturgeon Bay, WI

All providers in Sturgeon Bay, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.