PAIN CENTERS OF WISCONSIN - KENOSHA, LLC (NPI# 1407152945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407152945 |
| Entity Type | Organization |
| Organization Name | PAIN CENTERS OF WISCONSIN - KENOSHA, LLC |
| Practice Address |
9697 Saint Catherines Dr Ste 102 Pleasant Prairie WI 53158-2118 |
| Practice Telephone | 4143257246 |
| Mailing Telephone | 4143257246 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | VISHAL LAL (CEO) |
| Authorized Official Telephone | 4143257246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629631536 | Pain Centers of Wisconsin - Kenosha, LLC | Durable Medical Equipment & Medical Supplies | 9697 Saint Catherines Dr Ste 102, Kenosha, WI 53158-2119 | 2019-04-16 |
| Street Address |
9697 SAINT CATHERINES DR STE 102 |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265489264 | Michelle Louise Gauthier | Family Medicine | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2006-05-27 |
| 1093274425 | Laronda James | Nurse Practitioner | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2019-03-15 |
| 1750774253 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 9697 Saint Catherines Dr, Suite 101, Pleasant Prairie, WI 53158-2118 | 2015-03-09 |
| 1922328921 | Brian Christopher Hill | Plastic Surgery | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2010-06-02 |
| 1629235791 | Neil Bhamb | Orthopaedic Surgery | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2008-05-17 |
| 1144411653 | Mhd Anas Alsawaf | Orthopaedic Surgery | 9697 Saint Catherines Dr, Ste 200, Pleasant Prairie, WI 53158-2118 | 2007-08-08 |
| 1730119561 | Alan P. Gegenheimer | Orthopaedic Surgery | 9697 Saint Catherines Dr, Suite 200, Pleasant Prairie, WI 53158-2118 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1316487093 | North Shore Surgical Suites, LLC | Clinic/Center | 8400 Lakeview Parkway, Suite 800, Pleasant Prairie, WI 53158-5819 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
| 1447799580 | Geneva Surgical Suites, LLC | Clinic/Center | 119 Elizabeth Lane, Genoa City, WI 53128-2124 | 2017-02-22 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
Please comment or provide details below to improve the information on PAIN CENTERS OF WISCONSIN - KENOSHA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.