Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack W Romano, PA

Individual provider Surgical Physician Assistant · NPI 1114059987

Jack W Romano, PA is a Surgical Physician Assistant in Kimberly, Wisconsin. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

300 W Papermill Run Unit 311
Kimberly, WI 54136-5507
Phone: (206) 940-0962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10002119 (WA)

Record details

NPI number1114059987
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026