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

NPI Status: Active since April 21, 2021

Contact Information

7201 GREEN BAY RD
KENOSHA, WI
ZIP 53142
Phone: (312) 519-9936

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 52D2232686
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-16-2027

About LAKESHORE PAIN AND SPINE CENTER LLC

This page provides the complete NPI Profile along with additional information for Lakeshore Pain And Spine Center Llc, a provider established in Kenosha, Wisconsin operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1689256539 assigned on April 2021. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Lakeshore Pain And Spine Center Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lakeshore Pain And Spine Center Llc. The authorized official of this NPI record is Dr. Bradley Silva Md (Owner/md)

NPI
1689256539
Provider Legal Name
LAKESHORE PAIN AND SPINE CENTER LLC
Other Organization Name
LAKESHORE PAIN AND SPINE CENTER LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7201 GREEN BAY RD KENOSHA, WI 53142
Location Phone
(312) 519-9936
Mailing Address
7201 GREEN BAY RD KENOSHA, WI 53142
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2021
Last Update Date
08-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRADLEY SILVA MD

Authorized Official Title
OWNER/MD
Authorized Official Phone
(262) 484-4035

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2232686
Facility Type
Physician Office
Certificate Effective Date
August 17, 2025
Certificate Expiration Date
August 16, 2027
Laboratory Director
BRADLEY A. SILVA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lakeshore Pain And Spine Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689256539, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 4 + 5 + 1 + 2 + 5 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1689256539.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation)
7201 GREEN BAY RD
KENOSHA, WI 53142
Podiatrist (Foot Surgery)
7201 GREEN BAY RD, SUITE A
KENOSHA, WI 53142
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Podiatrist (Foot Surgery)
7201 GREEN BAY RD, SUITE A
KENOSHA, WI 53142
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapist
7201 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapist
7201 GREEN BAY RD
KENOSHA, WI 53142
Nurse Practitioner
7201 GREEN BAY RD
KENOSHA, WI 53142
Prosthetic/Orthotic Supplier
7201 GREEN BAY RD
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689256539, enumerated as an "organization" on April 21, 2021.

The provider is located at 7201 GREEN BAY RD KENOSHA, WI 53142 and the phone number is (312) 519-9936.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.