NPIMap

Organization Active NPI

Aurora Health Care Ventures

  • Eyewear Supplier
  • Kiel, WI
National Provider Identifier
1437170206
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
AURORA HEALTH CARE VENTURES
Practice address
1001 Service Rd
Kiel, WI 53042-1295
Phone
(920) 894-1025
Fax
(920) 894-1026
NPI assigned
Jul 21, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mary Pantel
Title
Billing Supervisor
Phone
(920) 803-3266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1001 Service Rd
Kiel, WI 53042-1295

Mailing address

1001 Service Rd
Kiel, WI 53042-1295
Phone (920) 894-1025

Other identifiers 1

IdentifierTypeStateIssuer
38457300MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Aurora HL CR Ventur Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1001 Service Rd
Kiel, WI 53042
Phone (920) 894-2636

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1437170206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SERVICE RD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421295",
            "telephone_number": "920-894-1025",
            "fax_number": "920-894-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SERVICE RD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421295",
            "telephone_number": "920-894-1025",
            "fax_number": "920-894-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HEALTH CARE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "PANTEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "920-803-3266"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38457300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.