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LAKESHORE PAIN AND SPINE CENTER LLC
NPI 1689256539
Anesthesiology - Pain Medicine in Kenosha, WI

Active since April 21, 2021CLIA 52D2232686 · Waiver
7201 GREEN BAY RD, KENOSHA, WI 53142(312) 519-9936 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2021, Apr 21, 2021 (2 updates tracked since 2021).

About Lakeshore Pain And Spine Center Llc NPPES

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

LAKESHORE PAIN AND SPINE CENTER LLC (NPI 1689256539) is a healthcare organization registered as a pain medicine in Kenosha, Wisconsin and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Bradley Silva, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1689256539
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameLAKESHORE PAIN AND SPINE CENTER LLC
Location Address7201 GREEN BAY RDKenosha, WI 53142-3532
Mailing Address7201 Green Bay RdKenosha, WI 53142-3532
Phone(312) 519-9936
Organization SubpartNo
Authorized OfficialBradley SilvaOwner/md · (262) 484-4035
Enumeration DateApril 21, 2021
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1689256539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
7201 GREEN BAY RD, Kenosha, WI 53142
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Other Names 1

Doing Business AsLakeshore Pain And Spine Center Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 52D2232686

Lakeshore Pain And Spine Center, LLC · Kenosha, WI
Active · expires Aug 16, 2027
CLIA Number52D2232686
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorBradley A. Silva
Laboratory Phone(262) 484-4035
Laboratory LocationLakeshore Pain And Spine Center, LLC7201 Green Bay Rd Ste A, Kenosha, WI 53142
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

SOUTHPORT REHAB ASSOCIATES, INC
Clinic/Center (Rehabilitation)
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
GS MICELI DPM, SC
Podiatrist (Foot Surgery)
7201 GREEN BAY RD, SUITE A
KENOSHA, WI 53142
Kenosha County (262) 925-6565
ALWIN A DIAZ N.P.
Nurse Practitioner
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 432-2352
MS. ELLE HUCK, PTA
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MRS. PAMELA M HILEMAN PTA
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MR. WILLIAM H. LETSOM PT
Physical Therapist
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MRS. KAREN LYNNE TENUTA BS,PT
Physical Therapist
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MRS. SHELLEY K ROGERS P.T.A.
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977

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 Lakeshore Pain And Spine Center LLC's NPI number?

The NPI number for Lakeshore Pain And Spine Center LLC is 1689256539. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is Lakeshore Pain And Spine Center LLC located?

Lakeshore Pain And Spine Center LLC is located at 7201 Green Bay Rd, Kenosha, WI 53142. The listed phone number is (312) 519-9936.

What is Lakeshore Pain And Spine Center LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Lakeshore Pain And Spine Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2232686) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeshore Pain And Spine Center LLC was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.