Active NPI
Aurora Health and Wellness LLC
- Internal Medicine Physician
- Liberty TWP, OH
National Provider Identifier
1639989916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AURORA HEALTH AND WELLNESS LLC
- Practice address
- 6011 Bridgeton Manor Dr
Liberty TWP, OH 45011-9228 - Phone
- (937) 825-8122
- NPI assigned
- Jan 9, 2025
- 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
- Prakash Arumugam, MD, PHD
- Title
- Sole Member
- Phone
- (937) 825-8122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6011 Bridgeton Manor Dr
Liberty TWP, OH 45011-9228
Mailing address
6011 Bridgeton Manor Dr
Liberty TWP, OH 45011-9228
Phone (937) 825-8122
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1639989916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 BRIDGETON MANOR DR",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450119228",
"telephone_number": "937-825-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 BRIDGETON MANOR DR",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450119228",
"telephone_number": "937-825-8122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "ARUMUGAM",
"authorized_official_first_name": "PRAKASH",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "937-825-8122",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.