AURORA MEDICAL GROUP, INC. (NPI# 1609055623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609055623 |
| Entity Type | Organization |
| Organization Name | AURORA MEDICAL GROUP, INC. |
| Practice Address |
600 Walnut Ridge Dr Hartland WI 53029-9385 |
| Practice Telephone | 2623697040 |
| Mailing Telephone | 2623697040 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | JEFFREY BAILET (PRESIDENT) |
| Authorized Official Telephone | 4146476322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| 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 |
600 WALNUT RIDGE DR |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-9385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184603755 | Fawad Khan | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2006-01-12 |
| 1487103198 | Wiaam Taha | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2016-09-23 |
| 1043692627 | Samuel Seunghoon Yoon | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2015-06-19 |
| 1558519207 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 600 Walnut Ridge Dr, Suite 216, Hartland, WI 53029-9385 | 2008-09-07 |
| 1972792182 | Christine B Groth | Pharmacist | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-10-24 |
| 1598959967 | Veena V Gonuguntla | Pediatrics | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-08-29 |
| 1497978621 | Jill A Holz | Family Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-04-10 |
| 1053479287 | Aurora Medical Group,inc. | Durable Medical Equipment & Medical Supplies | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2006-12-04 |
| 1427165620 | Kristin J Simons | Family Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-24 |
| 1467567602 | Donna R Daufenbach | Ophthalmology | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| 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 |
|---|---|---|---|---|
| 1558519207 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 600 Walnut Ridge Dr, Suite 216, Hartland, WI 53029-9385 | 2008-09-07 |
| 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 | ||||
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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.