Active NPI
Aurora Medical Group, Inc.
- Durable Medical Equipment & Medical Supplies
- West Bend, WI
National Provider Identifier
1063575660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AURORA MEDICAL GROUP, INC.
- Practice address
- 205 Valley Ave
West Bend, WI 53095-5312 - Phone
- (262) 338-1123
- Fax
- (262) 338-7142
- NPI assigned
- Dec 18, 2006
- Last updated
- Feb 19, 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 | NU | Primary |
Addresses
Primary practice location
205 Valley Ave
West Bend, WI 53095-5312
Mailing address
205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1063575660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 VALLEY AVE",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955312",
"telephone_number": "262-338-1123",
"fax_number": "262-338-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 VALLEY AVE",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955312",
"telephone_number": "262-338-1123",
"fax_number": "262-338-7142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2008-02-19",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
- Nicole Auchter
- Aurora Advanced Healthcare Inc
- Aurora Advanced Healthcare, Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Health Care Ventures, Inc.
- Aurora Medical Group, Inc. (AMG at Cedar Community)
- Aurora Pharmacy Inc (Aurora Pharmacy)
- Aurora Pharmacy Inc (Aurora Pharmacy)
- Gretchen Aveni
- Beth A Aycock, R.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.