NPIMap

Organization Active NPI

Aurora Medical Group Inc

Doing business as Oshkosh Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oshkosh, WI
National Provider Identifier
1750438933
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AURORA MEDICAL GROUP INC
Doing business as
Oshkosh Dialysis
Practice address
712 Doctors CT
Oshkosh, WI 54901-2029
Phone
(920) 303-8700
NPI assigned
Jan 3, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Jeffrey W Bailet
Title
President
Phone
(414) 647-6322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary
Dialysis Equipment & Supplies (DME) 332BD1200X NU

Addresses

Primary practice location

712 Doctors CT
Oshkosh, WI 54901-2029

Mailing address

712 Doctors CT
Oshkosh, WI 54901-2029
Phone (920) 233-9920

Other names 1

  • Oshkosh Dialysis Doing business as

National Provider Directory

National Provider Directory

Locations

712 Doctors Ct
Oshkosh, WI 54901
Phone (920) 233-9920

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1750438933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012029",
            "telephone_number": "920-233-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012029",
            "telephone_number": "920-303-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BAILET",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oshkosh Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.