AURORA BAY AREA MEDICAL GROUP, LLC (NPI# 1851759146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851759146 |
| Entity Type | Organization |
| Organization Name | AURORA BAY AREA MEDICAL GROUP, LLC |
| Other Organization Name | AURORA HEALTH CENTER |
| Practice Address |
4061 Old Peshtigo Rd Marinette WI 54143-3887 |
| Mailing Address |
3100 Shore Dr Marinette WI 54143-4242 |
| Practice Telephone | 7157328000 |
| Practice Fax Number | 7157358007 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| 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 |
| 1417313354 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 603 French St, Peshtigo, WI 54157-1207 | 2016-01-07 |
| Street Address |
4061 OLD PESHTIGO RD |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-3887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467850 | Vickie Marie Cloutier | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2005-06-15 |
| 1669008488 | Karin Beal | Social Worker | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2020-03-13 |
| 1841844305 | Ashley Jones | Nurse Practitioner | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2019-08-01 |
| 1710403324 | Ramona S Klevgard | Nurse Practitioner | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2017-08-15 |
| 1295259596 | Cody A Pangrazzi | Social Worker | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2017-07-28 |
| 1629474721 | Khaled Elkady Hussein | Internal Medicine | 4061 Old Peshtigo Rd, Aurora Health Center, Marinette, WI 54143-3887 | 2014-11-17 |
| 1497190904 | Michelle L Shallow | Physical Therapy Assistant | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2013-05-10 |
| 1376886614 | Tolulope Olakunle Abikoye | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2013-04-05 |
| 1780928846 | Natalie Ann Oberdorfer | Pharmacist | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2012-11-15 |
| 1508100645 | Neil Gary Tuthill | Pharmacist | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| 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 |
|---|---|---|---|---|
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1093030876 | Wright & Filippis, Inc | Durable Medical Equipment & Medical Supplies | 2545 Roosevelt Rd, Suite 105, Marinette, WI 54143-3884 | 2010-04-05 |
| 1427221548 | Wright & Filippis, Inc. | Durable Medical Equipment & Medical Supplies | 2545 Roosevelt Road, Suite 105, Marinette, WI 54143-3884 | 2008-04-09 |
| 1174618854 | Lauerman Boyle Company Ltd | Durable Medical Equipment & Medical Supplies | 3403 Gallagher Rd, Marinette, WI 54143-3873 | 2006-10-04 |
| 1972518058 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2301 Hall Ave, Marinette, WI 54143-1236 | 2006-07-29 |
| 1710904883 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2900 Roosevelt Rd, Marinette, WI 54143-4299 | 2006-07-16 |
| 1417992959 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Ste 109, Marinette, WI 54143-4291 | 2006-06-18 |
| 1871546705 | Marinette Menominee Prescription Center Ltd | Durable Medical Equipment & Medical Supplies | 1378 Main St, Marinette, WI 54143-2425 | 2006-05-19 |
| 1427601723 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 1409 Cleveland Ave, Marinette, WI 54143-3918 | 2019-07-17 |
| 1306397773 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2820 Roosevelt Rd, Marinette, WI 54143 | 2016-10-20 |
| Find all providers in MARINETTE | ||||
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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.