Healthcare Provider Details

I. General information

NPI: 1659564904
Provider Name (Legal Business Name): AURORA HEALTH & WELLNESS MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 N CHILLICOTHE RD
AURORA OH
44202-8702
US

IV. Provider business mailing address

45 N CHILLICOTHE RD
AURORA OH
44202-8702
US

V. Phone/Fax

Practice location:
  • Phone: 330-562-3142
  • Fax: 330-995-0230
Mailing address:
  • Phone: 330-562-3142
  • Fax: 330-995-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY J BADALAMENTI
Title or Position: OWNER
Credential: D.C.
Phone: 330-562-3142