AURORA MEDICAL GROUP INC NPI 1336296300

NPI Information

NPI: 1336296300
Provider Name: AURORA MEDICAL GROUP INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: AURORA MEDICAL GROUP LAKE GENEVA
Address: 146 E GENEVA SQ
LAKE GENEVA, WI
ZIP 53147
Phone: (262) 249-5040

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NPI Details

AURORA MEDICAL GROUP INC is an end-stage renal disease (esrd) treatment clinic center in Lake Geneva, WI. AURORA MEDICAL GROUP INC NPI is 1336296300. The provider is registered as an organization entity type.
The provider Is Doing Business As Aurora Medical Group Lake Geneva.

The provider's business location address is:

146 E GENEVA SQ
LAKE GENEVA, WI
ZIP 53147-694
Phone: (262) 249-5040
Fax: (262) 249-7146

The provider's authorized official is Jeffery Bailet .
The authorized official title is President and has the following contact phone number (414) 647-6322.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 9/22/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BD1200X	Durable Medical Equipment & Medical Supplies	Dialysis Equipment & Supplies			No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	522537	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
2	1336296300	MEDICAID	WISCONSIN

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: 11/21/2025

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