Aurora Gi ASC LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · West Allis, WI
NPI 1174969372 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1174969372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- AURORA GI ASC LLC
- Practice address
- 2424 S 90TH St
West Allis, WI 53227-2455 - Phone
- (414) 908-6500
- Fax
- (414) 908-6510
- NPI assigned
- May 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Amy Jo Burns
- Title
- Director Revenue Cycle Management
- Phone
- (262) 970-7825
Member of 1
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Wisconsin Digestive Health Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2066698 | Wisconsin Digestive Health Center | Certificate of waiver | Oct 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131121001775 | WI | Part B Supplier - Ambulatory Surgical Center | 2163658162 | Practice locations: West Allis, WI |
National Provider Directory
Locations
2424 S 90th St
Ste 418
West Allis, WI 53227
Phone (262) 970-7825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
2424 S 90TH St
West Allis, WI 53227-2455
Mailing address
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6506
Other names
- Wisconsin Digestive Health Center
Other providers in West Allis, WI
- Atlas Healthcare, Inc
- Attentive Care Inc
- Brittani Atwood
- Aurora Advanced Healthcare, Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Medical Group Inc
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
All providers in West Allis, WI · Ambulatory Surgical Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.