AURORA CANCER CARE OF KENOSHA LLC (NPI# 1134548985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134548985 |
| Entity Type | Organization |
| Organization Name | AURORA CANCER CARE OF KENOSHA LLC |
| Practice Address |
6811 118th Ave Kenosha WI 53142-8420 |
| Practice Telephone | 2629425600 |
| Mailing Telephone | 2629425600 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | LAURIE B YAKE (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 2629485846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Street Address |
6811 118TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-8420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1740817907 | Tracy Carpenter | Massage Therapist | 6811 118th Ave, Kenosha, WI 53142-8420 | 2020-03-26 |
| 1386192045 | Olivera Catic | Nurse Practitioner | 6811 118th Ave, Kenosha, WI 53142-8420 | 2016-09-12 |
| 1346695095 | Heidi A Larder | Nurse Practitioner | 6811 118th Ave, Kenosha, WI 53142-8420 | 2016-05-02 |
| 1851767784 | Lisa A Ziarko | Nurse Practitioner | 6811 118th Ave, Kenosha, WI 53142-8420 | 2015-08-14 |
| 1497189468 | Allison Elizabeth Hardin | Physician Assistant | 6811 118th Ave, Ste. 210, Kenosha, WI 53142-8420 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| 1326323577 | Dino M Gallo | Pharmacist | 3805 80th St., Kenosha, WI 53142 | 2011-10-19 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093203457 | Joshua David Corteville | Clinic/Center | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-05-01 |
| 1720182462 | Holy Family Memorial Inc | Clinic/Center | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-09-12 |
| 1780640532 | Shared Magnetic Resonance Imaging Facility, Inc | Clinic/Center | 1104 John Nolen Dr, Suite 1, Madison, WI 53713-1430 | 2006-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.