Aurora Medical Group, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Oshkosh, WI

NPI 1750438818 · NPPES record last updated Oct 14, 2025

Key facts

NPI
1750438818
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AURORA MEDICAL GROUP, INC.
Practice address
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone
(920) 303-8700
NPI assigned
Jan 4, 2007
Organization subpart
No

Authorized official

Name
Kara Richardson
Title
Assistant Treasurer
Phone
(704) 631-0450

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aurora Baycare Medical Center
Green Bay, WI · CCN 520193
Hospital 5% Or Greater Direct Ownership Interest (62%) Oct 26, 2010
Evergreen Health Center
Oshkosh, WI · CCN 525647
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 15, 2025
Jan 15, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930026293 WI DME Supplier - Multi-Specialty - Physician
DME Supplier - Physician - Family Practice
6709794258 Practice locations: Oshkosh, WI

National Provider Directory

Tax ID family
Doctors Clinic of Elkh (55 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

855 N Westhaven Dr
Oshkosh, WI 54904-7668

Mailing address

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Oshkosh, WI

All providers in Oshkosh, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.