NPI 1265629133 · live from the CMS NPI Registry
Aurora Advanced Healthcare, INC.
Family Medicine in Milwaukee, WI. National Provider Identifier 1265629133, active.
NPI record
| NPI | 1265629133 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3003 W Good Hope Rd, Milwaukee, WI 53209 |
| Practice phone | 414-352-3100 |
| Mailing address | Po Box 735044, Chicago, IL 60673 |
| Enumerated | September 25, 2007 |
| Last updated | October 3, 2025 |
| Authorized official | Nan Nelson, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology | 207K00000X | — (WI) |
| Ophthalmology | 207W00000X | — (WI) |
| Urology | 208800000X | — (WI) |
| Orthopaedic Surgery | 207X00000X | — (WI) |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Otolaryngology | 207Y00000X | — (WI) |
| Dermatology | 207N00000X | — (WI) |
| Pediatrics | 208000000X | — (WI) |
| Surgery | 208600000X | — (WI) |
| Obstetrics & Gynecology | 207V00000X | — (WI) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — (WI) |
| Internal Medicine | 207R00000X | — (WI) |
| Family Medicine primary | 207Q00000X | — (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.