AURORA HEALTH CARE SOUTHERN LAKES, INC. (NPI# 1972628006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972628006 |
| Entity Type | Organization |
| Organization Name | AURORA HEALTH CARE SOUTHERN LAKES, INC. |
| Other Organization Name | AURORA LAKELAND MEDICAL CENTER |
| Practice Address |
W3985 County Road Nn Elkhorn WI 53121 |
| Mailing Address |
W3985 County Road Nn Elkhorn WI 53121-4337 |
| Practice Telephone | 2627412000 |
| Mailing Telephone | 2627412000 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | NAN NELSON (CFO) |
| Authorized Official Telephone | 4142991610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41758800 | 05 | |
| WI | 41223100 | 05 | |
| WI | 41227100 | 05 | |
| WI | 11021600 | 05 | |
| WI | 41758100 | 05 | |
| WI | 41758900 | 05 |
| Other Name | Type Code |
|---|---|
| Aurora Lakeland Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386930824 | Aurora Health Care Southern Lakes, Inc. | Durable Medical Equipment & Medical Supplies | 300 Mc Canna Pkwy, Burlington, WI 53105-3622 | 2011-06-23 |
| 1871815282 | Aurora Health Care Southern Lakes, Inc. | Rehabilitation Unit | 36500 Aurora Dr, Summit, WI 53066-4899 | 2010-02-26 |
| 1699008029 | Aurora Health Care Southern Lakes, Inc. | Physical Therapist | 36500 Aurora Dr, Summit, WI 53066 | 2009-09-17 |
| 1174796064 | Aurora Health Care Southern Lakes, Inc. | Rehabilitation Unit | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2008-04-11 |
| 1225156888 | Aurora Health Care Southern Lakes, Inc. | Internal Medicine | 10400 75th St, Kenosha, WI 53142 | 2007-03-26 |
| 1861557753 | Aurora Health Care Southern Lakes, Inc. | General Acute Care Hospital | 252 Mchenry St, Burlington, WI 53105 | 2006-12-22 |
| Street Address |
W3985 COUNTY ROAD NN |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466019 | Abdullah A Fayyad | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2005-06-10 |
| 1881202919 | Alexandra Sharapova | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-07-15 |
| 1619505963 | Melissa Folstad | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1700414091 | Kaitlin Pellicano | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1548898059 | Rabeea Rafiq Lodhra | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-30 |
| 1750919510 | Lindsey Elizabeth Mckee | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-28 |
| 1053873430 | Cherline Lee Rausch | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-03 |
| 1245792027 | Jazmine Jenae Smith | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-02 |
| 1669931978 | Jeffrey Allen Farvour | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-03-16 |
| 1144703778 | Brianna H Wordell | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2018-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861666240 | Aurora Lakeland Medical Center | General Acute Care Hospital | W3930 County Road Nn, Elkhorn, WI 53121-4335 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
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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.