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AURORA BAY AREA MEDICAL GROUP LLC NPI 1295122729


NPI Information

NPI: 1295122729
Provider Name: AURORA BAY AREA MEDICAL GROUP LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 52D2152141

Address:
3003 UNIVERSITY DR
MARINETTE, WI
ZIP 54143
Phone: (715) 735-1737
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AURORA BAY AREA MEDICAL GROUP LLC is a clinic center in Marinette, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AURORA BAY AREA MEDICAL GROUP LLC NPI is 1295122729. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3003 UNIVERSITY DR
MARINETTE, WI
ZIP 54143
Phone: (715) 735-1737
Fax: (715) 735-1794

The provider's authorized official is Nan Nelson .
The authorized official title is Assistant Treasurer and has the following contact phone number (414) 299-1610.

The CLIA number assigned to this NPI record is 52D2152141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2015 and was last updated on 12/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2106H00000XMarriage & Family TherapistNo
3207L00000XAnesthesiologyNo
4207R00000XInternal MedicineNo
52084N0400XPsychiatry & NeurologyNeurologyNo
6208600000XSurgeryNo
7208800000XUrologyNo
8208M00000XHospitalistNo
9261Q00000XClinic/CenterYes
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.