Wisconsin Pain Management, S.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WISCONSIN PAIN MANAGEMENT, S.C.

Practice address

1050 Milwaukee Ave
Suite 102
Burlington, WI 53105-1362

Phone

(262) 763-8000

NPI assigned

Jan 4, 2013

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony G Conrardy, M.D.

Title

Authorized Official

Phone

(262) 763-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1487991824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S EXECUTIVE DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054257",
            "telephone_number": "262-787-4050",
            "fax_number": "262-782-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MILWAUKEE AVE",
            "address_2": "SUITE 102",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051362",
            "telephone_number": "262-763-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN PAIN MANAGEMENT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "CONRARDY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "262-763-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Willich, LPN
• Danielle Winchell, M.A.O.M, LAC
• Angela Wingo
• Wisconsin Pain Management Specialists, LLC
• Wisconsin Pain Management, S.C.
• Wisconsin Psychology Associates, LLC
• Wisconsin Psychology Associates, LLC
• Wisconsin Vision Associates
• David Francis Wolff, PSYCHOLOGIST
• WP-Arc Arbor View Holdings LLC (Arbor View Communities)

• Ambulatory Surgical Clinic/Center in Burlington, WI
• Providers in Burlington, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.