Active NPI
Aurora Cancer Care of Kenosha LLC
- Radiation Oncology Clinic/Center
- Kenosha, WI
National Provider Identifier
1134548985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- Legal business name
- AURORA CANCER CARE OF KENOSHA LLC
- Practice address
- 6811 118TH Ave
Kenosha, WI 53142-8420 - Phone
- (262) 942-5600
- NPI assigned
- Apr 9, 2014
- 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
- Laurie B Yake
- Title
- Vice President Finance
- Phone
- (262) 948-5846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | Primary |
Addresses
Primary practice location
6811 118TH Ave
Kenosha, WI 53142-8420
Mailing address
6811 118TH Ave
Kenosha, WI 53142-8420
Phone (262) 942-5600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397001600000",
"number": "1134548985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 118TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428420",
"telephone_number": "262-942-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6811 118TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428420",
"telephone_number": "262-942-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA CANCER CARE OF KENOSHA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A",
"authorized_official_last_name": "YAKE",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
"authorized_official_telephone_number": "262-948-5846"
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.