Active NPI
Aurora Advanced Healthcare, Inc.
- Durable Medical Equipment & Medical Supplies
- Germantown, WI
National Provider Identifier
1457548372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AURORA ADVANCED HEALTHCARE, INC.
- Practice address
- N112W17975 Mequon Rd
Germantown, WI 53022-2425 - Phone
- (262) 532-7600
- NPI assigned
- Sep 25, 2007
- 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
- Eugene W. Monroe
- Title
- President
- Phone
- (414) 352-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
N112W17975 Mequon Rd
Germantown, WI 53022-2425
Mailing address
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41570800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1457548372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 W GOOD HOPE RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532092042",
"telephone_number": "414-352-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N112W17975 MEQUON RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530222425",
"telephone_number": "262-532-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA ADVANCED HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-352-3100"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41570800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.