Organization Active NPI

Twin Lakes Anesthesia SC

  • Anesthesiology Physician
  • Kenosha, WI
National Provider Identifier
1659289916
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Aug 28, 2026

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.