1. Home
  2. Directory
  3. Wisconsin
  4. Sheboygan
  5. Pain Medicine
  6. NPI Profile

WISCONSIN SPINE AND PAIN SC
NPI 1790309276
Pain Medicine - Interventional Pain Medicine in Sheboygan, WI

Active since June 01, 2020
2124 KOHLER MEMORIAL DR STE 110, SHEBOYGAN, WI 53081(920) 204-6758 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2024, Jun 1, 2020 (2 updates tracked since 2020).

About Wisconsin Spine And Pain Sc NPPES

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

WISCONSIN SPINE AND PAIN SC (NPI 1790309276) is a healthcare organization registered as an interventional pain medicine in Sheboygan, Wisconsin and active in the NPI registry since June 2020. The organization lists Michael W Jung, Owner, as its authorized official.

NPPES Registry Identity

NPI1790309276
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameWISCONSIN SPINE AND PAIN SC
Location Address2124 KOHLER MEMORIAL DR STE 110Sheboygan, WI 53081-3174
Mailing AddressDept Ch 17057Palatine, IL 60055-7057 · (414) 455-1153
Phone(920) 204-6758
Organization SubpartNo
Authorized OfficialMichael W JungOwner · (414) 455-1153
Enumeration DateJune 1, 2020
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1790309276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

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.

2124 KOHLER MEMORIAL DR STE 110, Sheboygan, WI 53081
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. RAYMOND SETH SOHN D.O
Anesthesiology
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Sheboygan County (920) 204-6758
DR. JEREMY ASHTON SCARLETT MD
Anesthesiology (Pain Medicine)
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Sheboygan County (920) 204-6758
MACKENZIE MAE SMITH
Nurse Practitioner (Family)
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Sheboygan County (833) 821-7246
ATIT SHAH MD
Pain Medicine (Pain Medicine)
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Sheboygan County (920) 204-6758

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 Wisconsin Spine And Pain Sc's NPI number?

The NPI number for Wisconsin Spine And Pain Sc is 1790309276. It was assigned to this organization in the NPPES registry on June 1, 2020.

Where is Wisconsin Spine And Pain Sc located?

Wisconsin Spine And Pain Sc is located at 2124 Kohler Memorial Dr Ste 110, Sheboygan, WI 53081. The listed phone number is (920) 204-6758.

What is Wisconsin Spine And Pain Sc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

What insurance does Wisconsin Spine And Pain Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Security Health Plan list Wisconsin Spine And Pain Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wisconsin Spine And Pain Sc was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.