Organization Active NPI

V. Stephen Slana, M.D., S.C.

  • Ophthalmology Physician
  • Kenosha, WI
National Provider Identifier
1750504346
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32916 Issued in WI
Legal business name
V. STEPHEN SLANA, M.D., S.C.
Practice address
6125 Green Bay Rd Ste 800
Kenosha, WI 53142-2982
Phone
(262) 654-0726
Fax
(262) 654-4365
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Victor Stephen Slana
Title
Physician
Phone
(262) 654-0726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 32916 WI Primary

Addresses

Primary practice location

6125 Green Bay Rd Ste 800
Kenosha, WI 53142-2982

Mailing address

6125 Green Bay Rd Ste 800
Kenosha, WI 53142-2982
Phone (262) 654-0726

Other identifiers 4

IdentifierTypeStateIssuer
1730155573OtherWINPI
1891761524OtherWINPI
31792900MedicaidWI
34243100MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
V Stephen Slana MD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1750504346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 800",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422982",
            "telephone_number": "262-654-0726",
            "fax_number": "262-654-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 800",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422982",
            "telephone_number": "262-654-0726",
            "fax_number": "262-654-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. STEPHEN SLANA, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SLANA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "262-654-0726"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "32916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730155573",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891761524",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31792900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34243100",
            "state": "WI"
        }
    ],
    "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 Jun 24, 2008; 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.