MIDWEST SPORTS AND INTERVENTIONAL SPINE SC
NPI 1831770510
Pain Medicine - Interventional Pain Medicine in Kenosha, WI

Active since April 15, 2021
4824 GREEN BAY RD, KENOSHA, WI 53144(262) 299-6199 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Jan 20, 2022, Oct 8, 2021 and 1 more (4 updates tracked since 2021).

About Midwest Sports And Interventional Spine Sc NPPES

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

MIDWEST SPORTS AND INTERVENTIONAL SPINE SC (NPI 1831770510) is a healthcare organization registered as an interventional pain medicine in Kenosha, Wisconsin and active in the NPI registry since April 2021. The organization lists Cyril N Philip, Owner, as its authorized official.

NPPES Registry Identity

NPI1831770510
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameMIDWEST SPORTS AND INTERVENTIONAL SPINE SC
Location Address4824 GREEN BAY RDKenosha, WI 53144-1789
Mailing Address2070 Green Bay Rd Ste 163Highland Park, IL 60035-2412 · (262) 299-6199 · Fax (262) 293-6953
Organization SubpartNo
Authorized OfficialCyril N PhilipOwner · (847) 343-0711
Enumeration DateApril 15, 2021
Last NPPES UpdateOctober 1, 20254 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1831770510 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.
4824 GREEN BAY RD, Kenosha, WI 53144

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Anesthesiology (Pain Medicine)
4824 GREEN BAY RD
KENOSHA, WI 53144
Nurse Practitioner (Family)
4824 GREEN BAY RD
KENOSHA, WI 53144

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 Midwest Sports And Interventional Spine Sc's NPI number?

The NPI number for Midwest Sports And Interventional Spine Sc is 1831770510. It was assigned to this organization in the NPPES registry on April 15, 2021.

Where is Midwest Sports And Interventional Spine Sc located?

Midwest Sports And Interventional Spine Sc is located at 4824 Green Bay Rd, Kenosha, WI 53144. The listed phone number is (262) 299-6199.

What is Midwest Sports And Interventional Spine 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 Midwest Sports And Interventional Spine Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Midwest Sports And Interventional Spine 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 Midwest Sports And Interventional Spine Sc was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.