Aurora Medical Group, Inc.
Organization Active NPI Obstetrics & Gynecology Physician · West Allis, WI
NPI 1457592735 · NPPES record last updated Mar 16, 2009
Key facts
- NPI
- 1457592735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- AURORA MEDICAL GROUP, INC.
- Practice address
- 8905 W Lincoln Ave
Suite 515
West Allis, WI 53227-2468 - Phone
- (414) 328-8650
- Fax
- (414) 328-8660
- NPI assigned
- Mar 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Bailet, MD
- Title
- President
- Phone
- (414) 647-6322
Other NPIs on the same Medicare enrollment 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000725 | WI | Part B Supplier - Clinic/Group Practice | 6709794258 |
Receives reassigned benefits from 5,043 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
8905 W Lincoln Ave
Suite 515
West Allis, WI 53227-2468
Mailing address
8905 W Lincoln Ave
Suite 515
West Allis, WI 53227-2468
Phone (414) 328-8650
Other providers in West Allis, WI
- Aurora Advanced Healthcare, Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Gi ASC LLC
- Aurora Medical Group Inc
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc
All providers in West Allis, WI · Obstetrics & Gynecology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2009. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.