Lake Country Pain Treatment

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKE COUNTRY PAIN TREATMENT

Practice address

970 S Silver Lake St
Suite 106
Oconomowoc, WI 53066-3802

Phone

(262) 560-9400

NPI assigned

Aug 23, 2007

Last updated

Aug 24, 2007By 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

David I SteinNPI 1942249578

Title

Owner

Phone

(414) 257-4673

Specialties & licenses 1

Addresses

Practitioners 2

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.

• David Irving Stein, MD

  • Specialist
  • Milwaukee, WI
  • NPI 1942249578
  Authorized official Same address or phone
• Christian Zebrasky, D.C.

  • Chiropractor
  • Oconomowoc, WI
  • NPI 1225036726
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1790978666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S SILVER LAKE ST",
            "address_2": "SUITE 106",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S SILVER LAKE ST",
            "address_2": "SUITE 106",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663802",
            "telephone_number": "262-560-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY PAIN TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-257-4673"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Country Birth LLC
• Lake Country Classical Academy, Inc.
• Lake Country Dentistry, L.L.C.
• Lake Country Emergency Physicians
• Lake Country Endoscopy Center, LLC
• Lake Country Pediatrics SC (Lake Country Physicians)
• Lake Country Pharmacy
• Lake Country Private Medical, S.C.
• Peter Mathew Lake, MD
• Lakeland Family Dental, LLC

• Specialist in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.