Aurora Medical Group,Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AURORA MEDICAL GROUP,INC.

Practice address

101 Express Way
Bonduel, WI 54107-9041

Phone

(715) 758-6444

NPI assigned

Nov 15, 2006

Last updated

Apr 16, 2009By 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

Jeffrey W Bailet, MD

Title

President

Phone

(414) 647-3047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1194898650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXPRESS WAY",
            "city": "BONDUEL",
            "state": "WI",
            "postal_code": "541079041",
            "telephone_number": "715-758-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXPRESS WAY",
            "city": "BONDUEL",
            "state": "WI",
            "postal_code": "541079041",
            "telephone_number": "715-758-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-04-16",
        "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": []
}

• Kaitlynn A Gueths, SLP
• Emily J Kadow, NP-C
• Stephanie Jo Kolaske, RN
• Scott A Laux, D.C.
• Kevin Robert Lynch, NRAEMT

• Durable Medical Equipment & Medical Supplies in Bonduel, WI
• Providers in Bonduel, 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 Apr 16, 2009; 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.