JACK W ROMANO PA
NPI 1114059987
Physician Assistant - Surgical in Kimberly, WI

Q: What is Jack Romano's NPI number?

The NPI number for Jack Romano is 1114059987. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Jack Romano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jack Romano was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2007

300 W PAPERMILL RUN UNIT 311, KIMBERLY, WI 54136(206) 940-0962 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack W Romano Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W ROMANO PA (NPI 1114059987) is an individual surgical provider in Kimberly, Wisconsin, licensed in Washington (PA10002119) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114059987

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJACK W ROMANOCredential: PA

Location Address300 W PAPERMILL RUN UNIT 311Kimberly, WI 54136-5507

Mailing Address300 W Papermill Run Unit 311Kimberly, WI 54136-5507 · (206) 940-0962

Phone(206) 940-0962

Sole ProprietorNo

Enumeration DateMarch 9, 2007

Last NPPES UpdateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1114059987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA10002119

300 W PAPERMILL RUN UNIT 311, Kimberly, WI 54136

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Other Identifiers 1

OtherG8864515WA · Medicare Ptan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Romano's NPI number?

The NPI number for Jack Romano is 1114059987. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Jack Romano located?

Jack Romano practices at 300 W Papermill Run Unit 311, Kimberly, WI 54136. The listed phone number is (206) 940-0962.

What is Jack Romano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jack Romano was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.