AURORA MEDICAL GROUP, INC. (NPI# 1174670244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174670244 |
Entity Type | Organization |
Organization Name | AURORA MEDICAL GROUP, INC. |
Other Organization Name | AURORA SHEBOYGAN CLINIC |
Practice Address |
2414 Kohler Memorial Dr Sheboygan WI 53081-3129 |
Practice Telephone | 9204574461 |
Mailing Telephone | 9204574461 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2008-08-22 |
Authorized Official Name | JEFFREY W BAILET (PRESIDENT) |
Authorized Official Telephone | 4146476322 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32718000 | 05 | |
WI | 42193100 | 05 |
Other Name | Type Code |
---|---|
Aurora Sheboygan Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
1629275367 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1449 Green Bay Rd, Sturgeon Bay, WI 54235-3846 | 2007-06-27 |
1356545347 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 603 French St, Peshtigo, WI 54157-1207 | 2007-06-13 |
1255535332 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 4070 Equestrian Ln, New Franken, WI 54229-9649 | 2007-06-13 |
1326242496 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2007-06-13 |
1275742413 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 7001 236th Ave, Salem, WI 53168-9663 | 2007-05-22 |
1225246879 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 110 Butler St, Random Lake, WI 53075-1708 | 2007-05-18 |
1073731618 | Aurora Medical Group, Inc. | Clinic/Center | 2307 S. Business Drive, Sheboygan, WI 53082 | 2007-04-20 |
1417171018 | Aurora Medical Group, Inc. | Family Medicine | N168w20060 Main St, Jackson, WI 53037-9382 | 2007-04-13 |
1427272798 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 721 S. Calumet Dr, Valders, WI 54245-9583 | 2007-04-11 |
Street Address |
2414 KOHLER MEMORIAL DR |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-3129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568461481 | Tracey N Aukerman | Audiologist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2005-07-21 |
1124659420 | Geoffrey Wein | Pharmacist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-27 |
1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
1104460872 | Amy C Konkol | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-11-05 |
1891346672 | Matthew Paul Buch | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-09-24 |
1073166518 | Molly E Jorde | Dietitian, Registered | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-07-23 |
1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
1841779238 | Michelle Zapinski | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2018-08-07 |
1023502192 | Christine Joel Debruine | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-21 |
1780177675 | Mallory Florence Andrews | Optometrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
Find all providers in zip 53081 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518007756 | Heinen Chiropractic, Sc | Clinic/Center | 2103 Indiana Ave Ste 1a, Sheboygan, WI 53081-4729 | 2007-02-07 |
1417395039 | Most Sacred Heart of Jesus Cardiology and Valvular Institute | Clinic/Center | 703 N 8th St, Suite 303, Sheboygan, WI 53081-4501 | 2013-06-05 |
1275752495 | Aurora Health Care Central, Inc. | Clinic/Center | 2629 N 7th St, Sheboygan, WI 53083 | 2007-04-25 |
1740365378 | Vincent A Graser | Clinic/Center | 833 Pennsylvania Ave, Suite 103, Sheboygan, WI 53081-4452 | 2006-10-25 |
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1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
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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.