AURORA ADVANCED HEALTHCARE, INC. (NPI# 1427246370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427246370 |
| Entity Type | Organization |
| Organization Name | AURORA ADVANCED HEALTHCARE, INC. |
| Practice Address |
1777 W Grand Ave Port Washington WI 53074-2077 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2622843456 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | EUGENE W MONROE (PRESIDENT) |
| Authorized Official Telephone | 4143523100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649562778 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2999 N. Mayfair Road, Suite 100, Wauwatosa, WI 53222 | 2011-05-09 |
| 1528366226 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | N8210 State Road 28, Mayville, WI 53050-2126 | 2011-03-03 |
| 1902356959 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | W180n11070 River Ln, Germantown, WI 53022-3109 | 2016-10-13 |
| 1912326430 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 16985 W Bluemound Rd, Brookfield, WI 53005-5946 | 2014-04-11 |
| 1538594585 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2013-09-10 |
| 1093149668 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 9120 W Loomis Rd, Suite 100, Franklin, WI 53132-9083 | 2013-08-30 |
| 1841598364 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 205 Valley Ave, West Bend, WI 53095-5312 | 2011-03-08 |
| 1467750166 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1640 E Sumner St, Hartford, WI 53027-2684 | 2011-03-03 |
| 1720386634 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | N168w20060 Main St, Jackson, WI 53037-9382 | 2011-03-02 |
| 1922306836 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1020 Fond Du Lac Ave, Kewaskum, WI 53040-9583 | 2011-03-02 |
| Street Address |
1777 W GRAND AVE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-2077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332464 | Dawn M Zak | Counselor | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2005-10-31 |
| 1548791585 | Cameron Blegen | Family Medicine | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2017-03-22 |
| 1932565868 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 1777 W Grand Ave, Suite 103, Port Washington, WI 53074-2077 | 2016-01-07 |
| 1699130732 | Rhiannon Jauer | Psychologist | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2015-12-16 |
| 1669855656 | Anjuli Marie Tuscano | Physician Assistant | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2015-07-08 |
| 1417247313 | Heidi S Wheeler | Nurse Practitioner | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2011-04-12 |
| 1730376617 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-09-25 |
| 1952508400 | Keith J Hacker | Physician Assistant | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-06-28 |
| 1558446971 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2006-10-25 |
| 1629153101 | Advanced Healthcare, S.c. | Durable Medical Equipment & Medical Supplies | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932565868 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 1777 W Grand Ave, Suite 103, Port Washington, WI 53074-2077 | 2016-01-07 |
| 1922242957 | Optical Shops of America | Eyewear Supplier (Equipment, not the service) | 23 Main St, Port Washington, NY 11050-2916 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658772 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1073 E Johnson St, Fond Du Lac, WI 54935-8919 | 2020-10-27 |
| 1578170247 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 120 N Grand Ave Ste 102, Sun Prairie, WI 53590-9007 | 2020-09-28 |
| 1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 2020-09-15 |
| 1427669746 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1607 Losey Blvd S, La Crosse, WI 54601-6151 | 2020-08-11 |
| 1710598032 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 631 Hometown Cir Ste 106, Verona, WI 53593-1561 | 2020-08-11 |
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
| 1669013256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 123 N Mall Dr, Grand Chute, WI 54913-8531 | 2019-10-04 |
| 1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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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.