AURORA ADVANCED HEALTHCARE INC. (NPI# 1619108537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619108537 |
| Entity Type | Organization |
| Organization Name | AURORA ADVANCED HEALTHCARE INC. |
| Practice Address |
1475 W Grand Ave Port Washington WI 53074-2074 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2622685100 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | EUGENE W. MONROE (PRESIDENT) |
| Authorized Official Telephone | 4143523100 |
| 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 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41570800 | 05 |
| Street Address |
1475 W GRAND AVE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528002904 | Bryan Canfield | Physical Therapist | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2006-06-15 |
| 1396239182 | Breanne N Geipel | Physical Therapist | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2018-06-15 |
| 1558742726 | Christopher M Eernisse | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2015-06-14 |
| 1861741365 | Alesha J Ewig | Physician Assistant | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2012-08-30 |
| 1720303670 | Anna V Kleyman | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2010-04-05 |
| 1306953278 | Scot A Wilfong | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-24 |
| 1851408231 | Tedmond R O'reilly | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-23 |
| 1639284706 | Mark R Fitzsimmons | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-20 |
| 1306870522 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2006-07-11 |
| 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 | 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 |
|---|---|---|---|---|
| 1578086377 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 961-3 Pt Washington Blvd, Port Washington, NY 11050-0000 | 2017-07-24 |
| 1558577817 | Seak Healthcare Corporation | Durable Medical Equipment & Medical Supplies | 95 Seaview Blvd, Port Washington, NY 11050 | 2007-05-15 |
| 1740380195 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 9613 Port Washington Boulevard, Port Washington, NY 11050-2924 | 2006-09-25 |
| 1225137565 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 14 Soundview Marketplace, Port Washington, NY 11050-2221 | 2006-09-22 |
| 1902860018 | Arthur J Kaplan Dpm PC | Durable Medical Equipment & Medical Supplies | 36b Main St, Port Washington, NY 11050-2919 | 2006-04-14 |
| 1316464845 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14 Soundview Market Pl, Port Washington, NY 11050-2221 | 2017-08-25 |
| 1396016028 | Ozaukee County | Durable Medical Equipment & Medical Supplies | 121 W Main St, Port Washington, WI 53074-1813 | 2012-01-26 |
| 1427246370 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-10-04 |
| 1730376617 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-09-25 |
| 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 PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on AURORA ADVANCED HEALTHCARE INC..
| 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.