Dalia Suliene, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28096 Issued in WI

Practice address

2925 Columbia Dr
Portage, WI 53901-9485

Phone

(608) 742-9100

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia Correctional Institution

  dba Cci

  • Clinic/Center
  • Portage, WI
  • NPI 1760522452
  NPD (past) Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1174712103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 COLUMBIA DR",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019485",
            "telephone_number": "608-742-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 COLUMBIA DR",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019485",
            "telephone_number": "608-742-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIENE",
        "first_name": "DALIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "28096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R Strabel, MD
• Mary Rose Strickland, PT, DPT
• Brie K Strook, FNP, APNP
• Brian T. Stubitsch, MD
• Leonas Pranas Sulas, MD
• Meredith Sullivan, MS, MA
• Kelly Sung
• James M Swan Jr., APNP
• Kylie A Taylor, LPC
• Stewart Ferguson Taylor Jr., MD

• Internal Medicine Physician in Portage, WI
• Providers in Portage, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.