Aurora Medical Group Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

AURORA MEDICAL GROUP INC

Doing business as

Aurora Medical Group Sturgeon Bay Dialysis

Practice address

108 S 10TH Ave
Sturgeon Bay, WI 54235-1802

Phone

(920) 746-7955

Fax

(920) 746-7974

NPI assigned

Jan 5, 2007

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Bailet

Title

President

Phone

(414) 647-6322

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aurora Medical Group Sturgeon Bay Dialysis Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hustisford, WI
  • NPI 1528193174

  Member Of

  NPD member

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1689722969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "4TH FLOOR L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 10TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351802",
            "telephone_number": "920-746-7955",
            "fax_number": "920-746-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "BAILET",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-647-6322"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689722969",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Medical Group Sturgeon Bay Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Levi R. Arnold, D.C.
• Randal E Arnold, D.C.
• Carol F Ash, PT
• Janet A Askins, RPH
• Ann L Athorp-Krech, PHD
• Aurora Medical Group, Inc
• Aurora Medical Group, Inc.
• Aurora Medical Group, Inc.
• Aurora Pharmacy Inc (Aurora Pharmacy)
• Rick James Avery, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.