Holistic Pain Management & Wellness Center SC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

44315 Issued in WI

Legal business name

HOLISTIC PAIN MANAGEMENT & WELLNESS CENTER SC

Practice address

10945 N Port Washington Rd
Ste 100
Mequon, WI 53092-5078

Phone

(920) 254-2105

NPI assigned

Feb 5, 2010

Organization subpart

No

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

Authorized official

Name

Steven Santino, MD

Title

President

Phone

(920) 254-2105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1972835551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 KOHLER MEMORIAL DR",
            "address_2": "STE 101",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813100",
            "telephone_number": "920-451-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD",
            "address_2": "STE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "920-254-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PAIN MANAGEMENT & WELLNESS CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "SANTINO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-254-2105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "44315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Hoaglund
• Marianna P Hoard, OTR
• Makayla Hodges
• Natasha Aimee Holbrook
• Thaddeus Holgado, C.O.
• Yumiko Holley, RN
• Sarah Ann Holschuh, AU.D.
• Home Health Managers
• Homestead Trail LLC
• Jodie Honigman

• Pain Medicine Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Pain Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.