AURORA BAY AREA MEDICAL GROUP, LLC (NPI# 1417313354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417313354 |
| Entity Type | Organization |
| Organization Name | AURORA BAY AREA MEDICAL GROUP, LLC |
| Other Organization Name | AURORA HEALTH CENTER |
| Practice Address |
603 French St Peshtigo WI 54157-1207 |
| Mailing Address |
3100 Shore Dr Marinette WI 54143-4242 |
| Practice Telephone | 7155823622 |
| Mailing Fax Number | 7157351794 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | TIMOTHY W LINEBERRY (BOARD CHAIRMAN) |
| Authorized Official Telephone | 9202888612 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1295122729 | 05 |
| Other Name | Type Code |
|---|---|
| Aurora Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174981047 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Suite 30, Marinette, WI 54143-4291 | 2016-02-05 |
| 1407214794 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Marinette, WI 54143-4291 | 2016-02-02 |
| 1205294592 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1510 University Dr, Marinette, WI 54143-4131 | 2016-02-02 |
| 1851759146 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2016-02-02 |
| Street Address |
603 FRENCH ST |
| City | PESHTIGO |
| State | WI |
| Zip Code | 54157-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356545347 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 603 French St, Peshtigo, WI 54157-1207 | 2007-06-13 |
| 1386909737 | Walid Omer | Internal Medicine | 603 French St, Peshtigo, WI 54157-1207 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806131 | Nick Jackson Jr. | Pharmacist | N3108 Schacht Rd., Peshtigo, WI 54157 | 2012-10-18 |
| 1114205960 | Cami Rose Olson | Physical Therapy Assistant | 701 Willow Street, Peshtigo, WI 54157 | 2011-07-28 |
| 1508173642 | Sara Simon | Occupational Therapist | 701 N. Lake Street, Peshtigo, WI 54157 | 2010-09-10 |
| 1295967743 | Regina Marie Leary | Occupational Therapy Assistant | 261 French Street, Peshtigo, WI 54157 | 2009-08-18 |
| 1730687252 | Ryan Weisnicht | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54157 | 2018-01-30 |
| 1285921353 | Leigh A Mcgough | Nurse Practitioner | 441 French St, Peshtigo, WI 54157 | 2011-07-08 |
| 1427203827 | Justine Ann Bantle | Occupational Therapy Assistant | 701 Willow St, Peshtigo, WI 54157 | 2008-11-26 |
| 1447447099 | Beth Ann Earley | Physical Therapy Assistant | 620 Harper Ave, Whispering Oaks Care Center, Pestigo, WI 54157 | 2007-09-27 |
| 1700884293 | Magnicare, Inc. | Skilled Nursing Facility | 501 N Lake St, Peshtigo, WI 54157-1013 | 2005-07-08 |
| 1821587858 | Michael Paul Martin | Physical Therapy Assistant | 501 N Lake St, Peshtigo, WI 54157-1013 | 2018-05-04 |
| Find all providers in zip 54157 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801262662 | Peshtigo Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 960 Frontage Rd, Peshtigo, WI 54157-1702 | 2015-08-17 |
| 1356545347 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 603 French St, Peshtigo, WI 54157-1207 | 2007-06-13 |
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|---|---|---|---|---|
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| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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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.