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SCOTT B. LUNDGREN, D.O., S.C.
NPI 1992752547
Anesthesiology - Pain Medicine in Kenosha, WI

Active since May 28, 2006
6308 8TH AVE, KENOSHA, WI 53143(262) 656-2011 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Scott B. Lundgren, D.o., S.c. NPPES

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

SCOTT B. LUNDGREN, D.O., S.C. (NPI 1992752547) is a healthcare organization registered as a pain medicine in Kenosha, Wisconsin and active in the NPI registry since May 2006. The organization lists Scott B Lundgren, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1992752547
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSCOTT B. LUNDGREN, D.O., S.C.
Location Address6308 8TH AVEKenosha, WI 53143-5031
Mailing Address225 S Executive DrBrookfield, WI 53005-4266 · (262) 787-4026
Phone(262) 656-2011
Organization SubpartNo
Authorized OfficialScott B LundgrenAuthorized Official · (262) 656-2011
Enumeration DateMay 28, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1992752547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedAnesthesiologyTaxonomy 207L00000X

Other Identifiers 1

Medicaid30074800WI

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

Other Providers at the Same Location NPPES 20

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

GINA GAMBUCCI MS, LAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
HANNA MARIANI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6308 8TH AVE, STE 3070
KENOSHA, WI 53143
Kenosha County (262) 656-3710
RAYMOND W KNIGHT MD
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300
BRADLEY N. HAUGSTAD, M.D., S.C.
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
JIMALEEN DELABIO
General Acute Care Hospital
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-3290
KENOSHA VASCULAR LAB INC
Specialist
6308 8TH AVE, SUITE 301
KENOSHA, WI 53143
Kenosha County (262) 656-8265
MARK R VYTLACIL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2943
MICHAEL H ZEIHEN MD
Internal Medicine
6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300

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 Scott B. Lundgren, D.O., S.C.'s NPI number?

The NPI number for Scott B. Lundgren, D.O., S.C. is 1992752547. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Scott B. Lundgren, D.O., S.C. located?

Scott B. Lundgren, D.O., S.C. is located at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (262) 656-2011.

What is Scott B. Lundgren, D.O., S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Scott B. Lundgren, D.O., S.C. was last updated on September 11, 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.