Baycare Aurora, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BAYCARE AURORA, LLC

Practice address

3509 Dewey Ave
Manitowoc, WI 54220-5813

Phone

(920) 686-5732

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gwendolyn Christensen

Title

Cfo

Phone

(920) 288-3039

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hustisford, WI
  • NPI 1528193174

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Baycare Aurora Kaukauna Surgery Center LLC

  dba Kaukauna Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Kaukauna, WI
  • NPI 1821614710

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1114406212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 DEWEY AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205813",
            "telephone_number": "920-686-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 DEWEY AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205813",
            "telephone_number": "920-686-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE AURORA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-288-3039"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Bandt, DDS
• Damon J Banks, PT
• Cole Barnhart, OD
• Lisa Baryenbruch, H.I.S.
• Barry V Bast, M.D.
• Baycare Clinic LLP
• Baycare Clinic LLP
• Baycare Clinic, LLP
• William Clifford Beaupre, D.D.S.
• Brandon Raymond Beck, PA-C

• Durable Medical Equipment & Medical Supplies in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.