Active NPI
Aurora Advanced Healthcare, Inc.
- Durable Medical Equipment & Medical Supplies
- Port Washington, WI
National Provider Identifier
1730376617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AURORA ADVANCED HEALTHCARE, INC.
- Practice address
- 1777 W Grand Ave
Port Washington, WI 53074-2077 - Phone
- (262) 284-3456
- NPI assigned
- Sep 25, 2007
- Last updated
- Mar 30, 2009
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1777 W Grand Ave
Port Washington, WI 53074-2077
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Milwaukee, WI
- NPI 1457385833
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": "1730376617",
"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": "1777 W GRAND AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742077",
"telephone_number": "262-284-3456"
}
],
"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 Port Washington, WI
- Kellie Ann Armistead, OTR/L
- Madeline Auchter
- Penny Augustin, LPC
- Aurora Advanced Healthcare Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Health Care Ventures Inc. (Aurora Vision Center - Port Washington)
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc (Aurora Pharmacy)
- Sarah Barber, MS
- Barrett D. Straub DDS, SC
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.