AURORA MEDICAL GROUP, INC. (NPI# 1821286493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821286493 |
| Entity Type | Organization |
| Organization Name | AURORA MEDICAL GROUP, INC. |
| Practice Address |
1425 Memorial Dr Manitowoc WI 54220-6707 |
| Practice Telephone | 9206839500 |
| Mailing Telephone | 9206839500 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | JEFFREY BAILET (PRESIDENT) |
| Authorized Official Telephone | 4146476322 |
| Is Organization Subpart | Y |
| Parent Organization Name | AURORA MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42230800 | 05 | |
| WI | 42237400 | 05 | |
| WI | 32840700 | 05 | |
| WI | 32877700 | 05 |
| 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 |
1425 MEMORIAL DR |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144241027 | Diana Lampsa Mdsc | Psychiatry & Neurology | 1425 Memorial Dr, Manitowoc, WI 54220-6707 | 2006-07-23 |
| 1508915794 | David J Schibline | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54220-6707 | 2007-01-09 |
| 1114034493 | John R Schmidt | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54221-0400 | 2006-08-24 |
| 1023027711 | Karen A Berge | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54221-0400 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634917 | Koenig, Inc | Clinic/Center | 926 S 8th St, Manitowoc, WI 54220-4535 | 2009-09-09 |
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|---|---|---|---|---|
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| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| 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.