Leonas Pranas Sulas, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

27361020 Issued in WI

Practice address

2817 New Pinery Road
Divine Savior Healthcare
Portage, WI 53901-0387

Phone

(608) 745-5603

Fax

(608) 742-6098

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Divine Savior Healthcare, Inc.

  • Rural Health Clinic/Center
  • Portage, WI
  • NPI 1386154417
  NPD (past)
• Stewart F Taylor Jr MD

  • Orthopaedic Surgery Physician
  • Portage, WI
  • NPI 1982880837
  NPD (past)
• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1609815216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY ROAD, PO BOX 387",
            "address_2": "DIVINE SAVIOR HEALTHCARE",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010387",
            "telephone_number": "608-745-5603",
            "fax_number": "608-742-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY ROAD",
            "address_2": "DIVINE SAVIOR HEALTHCARE",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010387",
            "telephone_number": "608-745-5603",
            "fax_number": "608-742-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAS",
        "first_name": "LEONAS",
        "middle_name": "PRANAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "27361020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "60643",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30689000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Andries Stodola, APNP
• Elizabeth R Strabel, MD
• Mary Rose Strickland, PT, DPT
• Brie K Strook, FNP, APNP
• Brian T. Stubitsch, MD
• Dalia Suliene, MD
• Meredith Sullivan, MS, MA
• Kelly Sung
• James M Swan Jr., APNP
• Kylie A Taylor, LPC

• Urology Physician in Portage, WI
• Providers in Portage, WI by specialty
• Urology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.