Active NPI
Leilane U Sta Romana MDSC
- Internal Medicine Physician
- Kenosha, WI
National Provider Identifier
1023153947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEILANE U STA ROMANA MDSC
- Practice address
- 3734 7TH Ave
Dominican Building Suite 15
Kenosha, WI 53140-5525 - Phone
- (262) 658-3706
- NPI assigned
- Feb 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leilane U Sta Romana, MD
- Title
- Owner and President
- Phone
- (262) 658-3706
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3734 7TH Ave
Dominican Building Suite 15
Kenosha, WI 53140-5525
Mailing address
3734 7TH Ave
Dominican Building Suite 15
Kenosha, WI 53140-5525
Phone (262) 658-3706
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Kenosha, WI
- NPI 1013934827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023153947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3734 7TH AVE",
"address_2": "DOMINICAN BUILDING SUITE 15",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531405525",
"telephone_number": "262-658-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 7TH AVE",
"address_2": "DOMINICAN BUILDING SUITE 15",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531405525",
"telephone_number": "262-658-3706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEILANE U STA ROMANA MDSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STA ROMANA",
"authorized_official_first_name": "LEILANE",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "OWNER AND PRESIDENT",
"authorized_official_telephone_number": "262-658-3706",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.