Active NPI
Twin Lakes Anesthesia SC
- Anesthesiology Physician
- Kenosha, WI
National Provider Identifier
1659289916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TWIN LAKES ANESTHESIA SC
- Practice address
- 4824 Green Bay Rd
Kenosha, WI 53144-1789 - Phone
- (262) 299-6199
- Fax
- (262) 293-6953
- NPI assigned
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyril N Philip, MD
- Title
- Member
- Phone
- (262) 299-6199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4824 Green Bay Rd
Kenosha, WI 53144-1789
Mailing address
4824 Green Bay Rd
Kenosha, WI 53144-1789
Phone (262) 299-6199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1659289916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441789",
"telephone_number": "262-299-6199",
"fax_number": "262-293-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441789",
"telephone_number": "262-299-6199",
"fax_number": "262-293-6953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN LAKES ANESTHESIA SC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "PHILIP",
"authorized_official_first_name": "CYRIL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "262-299-6199",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.