Ismael R Staromana, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25033 Issued in WI

Practice address

3734 7TH Ave
Dominican Building #15
Kenosha, WI 53140-5525

Phone

(262) 658-3706

Fax

(262) 658-1751

NPI assigned

May 25, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Southeastern Wisconsin Anesthesiology, S.C.

  • Anesthesiology Physician
  • Burlington, WI
  • NPI 1639125701
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1922054519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 7TH AVE",
            "address_2": "DOMINICAN BUILDING #15",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405525",
            "telephone_number": "262-658-3706",
            "fax_number": "262-658-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 7TH AVE",
            "address_2": "DOMINICAN BUILDING #15",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405525",
            "telephone_number": "262-658-3706",
            "fax_number": "262-658-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAROMANA",
        "first_name": "ISMAEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "25033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30447800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Helen Stanis, APSW
• Madison Stankevich, OTR/L
• Claire Stanners, MAT, ATC
• Jillian Ann Stapleman, PTA
• Jeanne Stark Casadont
• Colleen M Steffens, OT
• Stein Optical Inc
• Connie Lee Stein, LPN
• Sadie Ann Steinbeisser, OD
• Steven Steiner

• Anesthesiology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.