Active NPI
Aurora Meidcal Group, Inc.
- Durable Medical Equipment & Medical Supplies
- Howards Grove, WI
National Provider Identifier
1528108263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AURORA MEIDCAL GROUP, INC.
- Practice address
- 620 S Wisconsin Dr
Howards Grove, WI 53083-1263 - Phone
- (920) 565-4598
- NPI assigned
- Feb 8, 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
- Jeffrey Bailet, MD
- Title
- President
- Phone
- (414) 647-6322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
620 S Wisconsin Dr
Howards Grove, WI 53083-1263
Mailing address
3000 W Montana St
Milwaukee, WI 53215-3628
Phone (414) 647-6322
National Provider Directory
National Provider DirectoryLocations
3000 W Montana St
Milwaukee, WI 53215
Phone (414) 423-5174
620 S Wisconsin Dr
Sheboygan, WI 53083
Phone (920) 565-4595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1528108263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 W MONTANA ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153628",
"telephone_number": "414-647-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S WISCONSIN DR",
"city": "HOWARDS GROVE",
"state": "WI",
"postal_code": "530831263",
"telephone_number": "920-565-4598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA MEIDCAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "BAILET",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-647-6322",
"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": []
}
Other providers in Howards Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.