Active NPI
Aurora Medical Group,Inc.
- Durable Medical Equipment & Medical Supplies
- Hartland, WI
National Provider Identifier
1053479287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AURORA MEDICAL GROUP,INC.
- Practice address
- 600 Walnut Ridge Dr
Hartland, WI 53029-9385 - Phone
- (262) 569-7040
- NPI assigned
- Dec 4, 2006
- Last updated
- Feb 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey W Bailet, MD
- Title
- President
- Phone
- (414) 647-3047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
600 Walnut Ridge Dr
Hartland, WI 53029-9385
Mailing address
600 Walnut Ridge Dr
Hartland, WI 53029-9385
Phone (262) 569-7040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1053479287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WALNUT RIDGE DR",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530299385",
"telephone_number": "262-569-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WALNUT RIDGE DR",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530299385",
"telephone_number": "262-569-7040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA MEDICAL GROUP,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "BAILET",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-647-3047",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartland, WI
- Arrowhead Union High School (Lake Country School)
- Arrowhead Union High School
- Ascendent Health Partners
- Aurora Health Care Ventures Inc. (Aurora Vision Center - Hartland)
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc (Aurora Pharmacy)
- Aurora Pharmacy Inc (Aurora Pharmacy #1067)
- Kathryn Avgoulas, RPH
- Avid at Home LLC
- Bailey Family Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.