CMS-1500 Box 24J / 33a • NPI
1407214794
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332B00000X (CMS 54)
Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies
Box 32 Service Location & ZIP+4
3130 SHORE DR, MARINETTE, WI, 54143-4291
✓ 9-Digit EDI 837 ZIP+4 (54143-4291)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1407214794 (AURORA BAY AREA MEDICAL GROUP, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1407214794 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AURORA BAY AREA MEDICAL GROUP, LLC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies NUCC Code: 332B00000X (Durable Medical Equipment & Medical Supplies) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3130 SHORE DR, MARINETTE, WI, 54143-4291 |
| Practice Telephone / Fax | Tel: (715) 735-7421 |
| Administrative Mailing Address | 3100 SHORE DR, MARINETTE, WI, 54143-4242 |
| Enumeration & Last Sync | Enumerated: 2016-02-02 | CMS Record Updated: 2016-02-02 |
| Authorized Official | TIMOTHY LINEBERRY (Board Chairman) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (332B00000X)
What Does Taxonomy Code 332B00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332B00000X translates to:
"Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AURORA BAY AREA MEDICAL GROUP, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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