Aurora Pediatric & Adolescent Med

LBN: Aurora Bay Area Medical Group, Llc
Aurora Pediatric & Adolescent Med is an health care organization with primary practice located at 1510 University Dr , Marinette WI 54143-4131. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Aurora Bay Area Medical Group, Llc can be contacted via phone (715) 735-3998, or through Lineberry, Timothy W via phone (920) 288-8612.

Contact Information

Primary practice address
1510 University Dr Marinette WI 54143-4131
Phone: (715) 735-3998
Fax: (715) 735-0312
Website:
Map and Directions
Authorized official contact:
Name: Lineberry, Timothy W Doctor of Medicine (MD)
Phone: (920) 288-8612

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1205294592
LBN Legal business name Aurora Bay Area Medical Group, Llc
DBA Doing business as Aurora Pediatric & Adolescent Med
Authorized official Lineberry, Timothy W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2016
Last updated Feb 2nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205294592 NPPES
Wisconsin MEDICAID 1295122729

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