Aurora Medical Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AURORA MEDICAL GROUP INC

Practice address

2521 S Bay Shore Dr
Sister Bay, WI 54234-9158

Phone

(920) 854-2347

NPI assigned

Jun 13, 2007

Last updated

Apr 13, 2009By 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

Jeffrey Baliet

Title

President

Phone

(414) 647-6322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1750585667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 S BAY SHORE DR",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349158",
            "telephone_number": "920-854-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 S BAY SHORE DR",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349158",
            "telephone_number": "920-854-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "BALIET",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-647-6322"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Anderson, DDS
• Aurora Medical Group, Inc.
• Cassaundra N Bratz, LPC
• Susan Carol Brozek, LCSW
• Rachael Anne Chomeau, PTA
• Cliffside Dental, LLC

• Durable Medical Equipment & Medical Supplies in Sister Bay, WI
• Providers in Sister Bay, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.