Aurora Bay Area Medical Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AURORA BAY AREA MEDICAL GROUP, LLC

Doing business as

Aurora Health Center

Practice address

4061 Old Peshtigo Rd
Marinette, WI 54143-3887

Phone

(715) 732-8000

Fax

(715) 735-8007

NPI assigned

Feb 2, 2016

Last updated

Feb 2, 2016By 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

Timothy W Lineberry, M.D.

Title

Board Chairman

Phone

(920) 288-8612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aurora Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Aurora Medical Center Bay Area, Inc

  • General Acute Care Hospital
  • Marinette, WI
  • NPI 1043397177

  Member Of

  NPD member
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hustisford, WI
  • NPI 1528193174

  Member Of

  NPD member

Locations

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.

• Sheri Silva Rocco, MD

  • Pediatrics Physician
  • Pleasant Prairie, WI
  • NPI 1376650622
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1851759146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 OLD PESHTIGO RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433887",
            "telephone_number": "715-732-8000",
            "fax_number": "715-735-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BAY AREA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "920-288-8612",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295122729",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Sue Aubry, PTA
• Aurora Bay Area Medical Group LLC
• Aurora Bay Area Medical Group, LLC (Bay Area Surgical Consultants)
• Aurora Bay Area Medical Group, LLC (Aurora Pediatric & Adolescent Med)
• Aurora Bay Area Medical Group, LLC (Aurora Marinette Menominee Clinic)
• Aurora Medical Center Bay Area, Inc
• Aurora Medical Center Bay Area, Inc (Aurora Medical Center Bay Area Clinical Medical Laboratory)
• Aurora Medical Center Bay Area, Inc (Aurora Medical Center Bay Area)
• Aurora Medical Center Bay Area, Inc (Aurora Medical Center Bay Area)
• Aurora Medical Center Bay Area, Inc. (Aurora Medical Center Bay Area)

• Durable Medical Equipment & Medical Supplies in Marinette, WI
• Providers in Marinette, 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 Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.