Paul G. Spottswood, M.D., S.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAUL G. SPOTTSWOOD, M.D., S.C.

Practice address

6308 8TH Ave
Kenosha, WI 53143-5031

Phone

(262) 656-2011

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Paul G Spottswood, M.D.NPI 1124002282

Title

Authorized Official

Phone

(262) 656-2011

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul G Spottswood, M.D.

  • Anesthesiology Physician
  • Kenosha, WI
  • NPI 1124002282
  Authorized official Same address or phone

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780631465",
    "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": "530054266",
            "telephone_number": "262-787-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G. SPOTTSWOOD, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SPOTTSWOOD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "262-656-2011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21291100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisco Patino Jr., LPC-IT
• Grace Catherine Patnode, DPT
• Monica L Patrick, BSN, RN
• Patti Mahlandtbutts
• Joseph L Paukner, MD
• Steven Thomas Paul, DPT, ATC
• Mary B Pauloni, L.P.N.
• Sinu Paulose, APRN
• Adam George Pavlakis, DPT
• Samantha Pawela

• Pain Medicine (Anesthesiology) Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pain Medicine (Anesthesiology) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.