Aurora Baycare

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

5572-26 Issued in WI

Legal business name

AURORA BAYCARE

Practice address

1160 Kepler Dr
Green Bay, WI 54311-8321

Phone

(920) 288-5459

Fax

(920) 288-5420

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Dianne Lezotte

Title

Network Credentialing Coord Sr

Phone

(414) 647-6326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1811394877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118321",
            "telephone_number": "920-288-5459",
            "fax_number": "920-288-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118321",
            "telephone_number": "920-288-5459",
            "fax_number": "920-288-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "LEZOTTE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "NETWORK CREDENTIALING COORD SR",
        "authorized_official_telephone_number": "414-647-6326"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "WI",
            "license": "5572-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Aubry, RPH
• Billina Susanne Augustian, P.A.-C
• Trent J Auguston, MD
• Tracey N Aukerman, M.A.,CCC-A
• Catharine Aune, CRNP
• Aurora Medical Group
• Aurora Medical Group Inc
• Aurora Medical Group Inc.
• Aurora Medical Group, Inc.
• Aurora Medical Group, Inc.

• Rehabilitation Hospital in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Rehabilitation Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.