LEILANE U STA ROMANA MDSC (NPI# 1023153947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023153947 |
| Entity Type | Organization |
| Organization Name | LEILANE U STA ROMANA MDSC |
| Practice Address |
3734 7th Ave Dominican Building Suite 15 Kenosha WI 53140-5525 |
| Practice Telephone | 2626583706 |
| Mailing Telephone | 2626583706 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEILANE U STA ROMANA (OWNER AND PRESIDENT) |
| Authorized Official Telephone | 2626583706 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3734 7TH AVE DOMINICAN BUILDING SUITE 15 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054519 | Ismael R Staromana | Anesthesiology | 3734 7th Ave, Dominican Building #15, Kenosha, WI 53140-5525 | 2006-05-25 |
| 1851527428 | Tara R Rullman | Counselor | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2009-06-09 |
| 1336374925 | Lisa M Defazio | Social Worker | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2009-05-26 |
| 1942474341 | Steven M Schwimmer, D.o. | Internal Medicine | 3734 7th Ave, Suite 27, Kenosha, WI 53140-5525 | 2008-04-16 |
| 1366627689 | Pradeep G. Kumar Md Inc | Clinic/Center | 3734 7th Ave, Suite 1, Kenosha, WI 53140-5525 | 2008-01-05 |
| 1356526743 | Vicki L Bartow | Social Worker | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2008-01-03 |
| 1104001999 | Amy F Fockler | Social Worker | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2007-12-31 |
| 1275652315 | Corrie Ruth Lee | Counselor | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-03-28 |
| 1730246380 | Ashokkumar K Shah | Psychiatry & Neurology | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-01-02 |
| 1255494852 | Ernesto Buencamino Md Sc | Internal Medicine | 3734 7th Ave, Suite 11, Kenosha, WI 53140-5525 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699031583 | Andrew Mazulis | Internal Medicine | 6308 8th Ave # 202, Kenosha, WI 53143-5031 | 2012-04-05 |
| 1447525563 | James Thomas Duncan Jr. | Internal Medicine | 515 74th St., Kenosha, WI 53143-5567 | 2012-03-22 |
| 1588847099 | Rodrigo B Mata IIi, M.d., S.c. | Internal Medicine | 6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 | 2007-12-07 |
| 1912928094 | Gladys Emmanuelle Hollant | Internal Medicine | 800 55th St, Kenosha, WI 53140-3733 | 2006-07-22 |
| 1013934827 | Leilane U Sta Romana | Internal Medicine | 6127 Green Bay Rd, #200, Kenosha, WI 53142-2929 | 2006-07-16 |
| 1427098722 | Giuseppe Garretto | Internal Medicine | 1020 35th St, Suite 100, Kenosha, WI 53140-1902 | 2006-06-07 |
| 1316470099 | Kristen A Chavez | Internal Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2017-04-09 |
| 1598214363 | Ihc-snf LLC | Internal Medicine | 8633 32nd Ave, Kenosha, WI 53142-5187 | 2016-09-22 |
| 1992044846 | Kelly Beth Heidle | Internal Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2013-02-12 |
| 1215227251 | Omar Kazmi | Internal Medicine | 10400 75th St, Kenosha, WI 53142 | 2011-04-11 |
| Find all providers in KENOSHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.