AURORA HEALTH CARE WIC


Address: 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330
Phone: 4142193210

AURORA HEALTH CARE WIC (NPI# 1619202546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619202546
Entity Type Organization
Organization Name AURORA HEALTH CARE WIC
Practice Address 1218 W Kilbourn Ave
Suite 207
Milwaukee
WI 53233-1330
Practice Telephone 4142193210
Mailing Telephone 4142193210
Enumeration Date 2009-10-09
Last Update Date 2009-10-09
Authorized Official Name MRS. JEN M. AGNELLO (MANAGER, WIC PROGRAM)
Authorized Official Telephone 4142193344
Authorized Official Credential RD CD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI TAXONOMY 251K00000X 01

Office Location

Street Address 1218 W KILBOURN AVE
SUITE 207
City MILWAUKEE
State WI
Zip Code 53233-1330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003891250 Aboud Affi Internal Medicine 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233-1330 2005-12-09
1932633724 Lori L Leidel Nurse Practitioner 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 2017-04-18
1801262746 Progressive Community Health Centers, Inc. Family Medicine 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 2015-08-14
1316287071 Maia F Schwartz Physician Assistant 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 2013-02-18
1245532050 Aurora Health Care Metro, Inc. Public Health or Welfare 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 2010-11-30
1235465832 Richard R Wesley Physician Assistant 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 2009-11-02
1215167523 Marvin Surgery 1218 W Kilbourn Ave, Suite-401, Milwaukee, WI 53233-1330 2009-07-21
1073754776 Elisabeth Catherine Biggs Physician Assistant 1218 W Kilbourn Ave, Suite 511, Milwaukee, WI 53233-1330 2009-03-10
1306013834 Patrick Walter Jost Orthopaedic Surgery 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 2008-05-14
1104003300 Razan Khattab Internal Medicine 1218 W Kilbourn Ave, Ste 124, Milwaukee, WI 53233-1330 2008-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104454750 Henok Desta Hardilo Student in an Organized Health Care Education/Training Program Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 2020-03-30
1821633314 Ann E Millard Occupational Therapist 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 2019-11-08
1306480918 Teng Kai Ong Dentist 1801 West Wisconsin Ave., Milwaukee, WI 53233 2019-11-06
1356800478 Nebiyu Abera Tilahun Student in an Organized Health Care Education/Training Program Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 2019-03-18
1548748387 Emily Claire Goetz Physical Therapist 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 2018-08-03
1801373378 Froedtert & The Medical College of Wisconsin Community Physicians Non-Pharmacy Dispensing Site 1721 W Canal St, Milwaukee, WI 53233 2018-07-26
1184170706 Lauren Troll Physical Therapist 925 N 12th Street, Milwaukee, WI 53233 2016-09-01
1942694401 Iryna Nemesh Internal Medicine 1020 N 12th St Fl 2, Milwaukee, WI 53233 2015-03-23
1649676032 Matina Angelopoulou Dentist 1801 West Winsconsin Ave, Milwaukee, WI 53233 2014-11-12
1780007831 John Ladisa Technician, Other 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 2014-01-27
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881292365 Testing Made Simple LLC Public Health or Welfare 3125 W Michigan St, Milwaukee, WI 53208-4060 2020-10-15
1821621905 Mommie & Me Prenatal Care Services Public Health or Welfare 9705 W Hampton Ave Apt 15, Milwaukee, WI 53225-4049 2020-02-18
1679035174 Wrights' Naturals Public Health or Welfare 5632 W Burleigh St, Milwaukee, WI 53210-1549 2019-04-03
1841667466 St. Ann Center for Intergenerational Care Public Health or Welfare 2450 W North Ave, Milwaukee, WI 53205 2015-08-31
1457689747 Wee Care Day Care, Inc. Public Health or Welfare 3882 N Teutonia Ave, Milwaukee, WI 53206-1967 2009-11-24
1942459094 Outreach Community Health Centers, Inc. Public Health or Welfare 711 W Capitol Dr, Milwaukee, WI 53206-3328 2008-09-13
1316131907 Milwaukee Care Connection Public Health or Welfare 2470 S 10th St Fl 2, Milwaukee, WI 53215-3249 2007-08-28
1760997860 We Still Have Hope In Our Youth Inc. Public Health or Welfare 4129 N 20th St, Milwaukee, WI 53209-6812 2017-12-11
1245532050 Aurora Health Care Metro, Inc. Public Health or Welfare 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 2010-11-30
1740516186 Milwaukee Health Services Inc Public Health or Welfare 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 2009-10-20
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Competitor

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City MILWAUKEE
Zip Code 53233

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Dataset Information

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.

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