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AURORA SHEBOYGAN CLINIC
NPI 1174670244
Clinic/Center in Sheboygan, WI

Active since January 04, 2007CLIA Certified · 5 labs
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461 Get Directions Write a Review

NPPES record last updated: August 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aurora Sheboygan Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AURORA SHEBOYGAN CLINIC (NPI 1174670244) is a healthcare organization registered as a clinic/center in Sheboygan, Wisconsin and active in the NPI registry since January 2007. The organization holds 5 active CLIA laboratory certificates and lists Jeffrey W Bailet, President, as its authorized official.

NPPES Registry Identity

NPI1174670244
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAURORA MEDICAL GROUP, INC.
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing Address2414 Kohler Memorial DrSheboygan, WI 53081-3129 · (920) 457-4461
Phone(920) 457-4461
Organization SubpartNo
Authorized OfficialJeffrey W BailetPresident · (414) 647-6322
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 22, 2008
✔ NPI 1174670244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081
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Other Names 1

Doing Business AsAurora Sheboygan Clinic

Other Identifiers 4

Medicaid42193100WI
Medicare PIN000081045WI
Medicare PIN000060040WI
Medicaid32718000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D1036055

Aurora Sheboygan Clinic Dept Of Dermatology · Sheboygan, WI
Active · expires May 18, 2028
CLIA Number52D1036055
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorDr. Daniel R. Opel
Laboratory Phone(920) 457-4461
Laboratory LocationAurora Sheboygan Clinic Dept Of Dermatology2414 Kohler Memorial Dr, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D2031011

Aurora Sheboygan Clinic Internal Medicine Anti-Coagulation · Sheboygan, WI
Active · expires Oct 10, 2027
CLIA Number52D2031011
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorDr. Alexandra Huml
Laboratory Phone(920) 457-4461
Laboratory LocationAurora Sheboygan Clinic Internal Medicine Anti-Coagulation2414 Kohler Memorial Drive, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2161789

Aurora Sheboygan Clinic- Urology · Sheboygan, WI
Active · expires Feb 10, 2027
CLIA Number52D2161789
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorDr. Jeffrey Welsch
Laboratory Phone(920) 457-4461
Laboratory LocationAurora Sheboygan Clinic- Urology2414 Kohler Memorial Dr- Urology Department, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2031014

Aurora Sheboygan Clinic Diabetes Care Center/Endocrinology · Sheboygan, WI
Active · expires Oct 10, 2027
CLIA Number52D2031014
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorDr. Akshata Chaugule
Laboratory Phone(920) 457-4461
Laboratory LocationAurora Sheboygan Clinic Diabetes Care Center/EndocrinologyAurora Sheboygan Clinic 2414 Kohler Memorial Drive, Sheboygan, WI 53081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D0681319

Aurora Sheboygan Clinic South · Sheboygan, WI
Active · expires Nov 17, 2027
CLIA Number52D0681319
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorDr. Kari Stauffer-Vrzal
Laboratory Phone(920) 458-4010
Laboratory LocationAurora Sheboygan Clinic South1813 Ashland Ave, Sheboygan, WI 53081
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA J MARKHAM PT
Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
HAILEE RAE KOHLHAGEN OD
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
ERIN JESSIE HOLZMAN
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
KATRINA LAURA ARNOLD NP
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
DR. PHILIP M. DETRANA M.D.
Internal Medicine (Pulmonary Disease)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
CHRISTINE JOEL DEBRUINE RN
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-1164
DR. THOMAS MATTHEW AMBELANG MD
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
DR. DAVID J FISHER M.D.
Radiology (Diagnostic Radiology)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aurora Medical Group, Inc.'s NPI number?

The NPI number for Aurora Medical Group, Inc. is 1174670244. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Aurora Sheboygan Clinic.

Where is Aurora Medical Group, Inc. located?

Aurora Medical Group, Inc. is located at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.

What is Aurora Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Aurora Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Aurora Medical Group, Inc. accept?

Health plans from CareSource (Common Ground Healthcare) list Aurora Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aurora Medical Group, Inc. was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.