Pain Centers of Wisconsin - Sauk Prairie, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAIN CENTERS OF WISCONSIN - SAUK PRAIRIE, LLC

Practice address

250 26TH St
Suite 140
Prairie Du Sac, WI 53578-2204

Phone

(414) 325-7246

Fax

(414) 325-3770

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Vishal Lal

Title

Ceo

Phone

(414) 325-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1922415728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "SUITE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 26TH ST",
            "address_2": "SUITE 140",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782204",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTERS OF WISCONSIN - SAUK PRAIRIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-325-7246"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Opie, RDH
• Michael John Orrico, PH.D.
• Orthopedic Associates of Sauk Prairie S.C.
• Andrew Benton Padley, APNP
• Pain Centers of Wisconsin - Sauk Prairie, LLC
• Theodore Sheldon Parins, M.D.
• Pathway to Wellness Community Clinic SC
• Andrea D Paul, R.D.H.
• Linda M Peeples, R.D.H.
• Yadi Quintanilla

• Ambulatory Surgical Clinic/Center in Prairie Du Sac, WI
• Providers in Prairie Du Sac, 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 Oct 24, 2016; 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.