Spine Solutions of Sheboygan LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPINE SOLUTIONS OF SHEBOYGAN LLC

Practice address

2124 Kohler Memorial Dr Ste 100
Sheboygan, WI 53081-3174

Phone

(920) 204-6758

NPI assigned

Dec 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeremy Ashton Scarlett

Title

MD

Phone

(608) 710-8162

Specialties & licenses 1

Addresses

Tax ID family

Spine Solutions of Sheboygan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spine Solutions of Sheboygan LLC

  • Ambulatory Surgical Clinic/Center
  • Sheboygan, WI
  • NPI 1891395661
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atit Shah, MD

  • Pain Medicine Physician
  • Sheboygan, WI
  • NPI 1487881108
  NPD (past)
• Raymond Seth Sohn, D.O

  • Anesthesiology Physician
  • Sheboygan, WI
  • NPI 1033430640
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1093522161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 18038",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558038",
            "telephone_number": "920-204-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 KOHLER MEMORIAL DR STE 100",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813174",
            "telephone_number": "920-204-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SOLUTIONS OF SHEBOYGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ASHTON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "608-710-8162"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Nicole Sonsalla, OTR
• Abdelouahid Souala, MD
• Curtis M Spaulding, RDH
• Jennifer L Specht, PHD
• Suzanne Marie Speltz, LCSW
• Spine Solutions of Sheboygan LLC
• Spinelli Group LLC
• St Nicholas Hospital -Sisters of Third Order of St Francis
• St Nicholas Hospital of the Hospital Sisters of St Francis
• St Nicholas Hospital-Sisters of the Third Order of St Francis

• Durable Medical Equipment & Medical Supplies in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.