WISCONSIN SPINE AND PAIN SC – NPI #1790309276
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

WISCONSIN SPINE AND PAIN SC is a provider located in SHEBOYGAN, WI. NPPES has assigned the NPI number 1790309276 to WISCONSIN SPINE AND PAIN SC on June 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was last updated on Sep 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WISCONSIN SPINE AND PAIN SC below.

NPI Profile for
WISCONSIN SPINE AND PAIN SC

NPI Number
1790309276
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WISCONSIN SPINE AND PAIN SC
Primary location
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081-3174
Phone: (920) 204-6758 Fax:
Mailing address
DEPT CH 17057
PALATINE, IL 60055-7057
Phone: (414) 455-1153 Fax:
Organization Subpart
No
Authorized Official
MICHAEL JUNG
OWNER
Phone: (414) 455-1153
Updated
Certification Date
Sep 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.