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
Mailing address300 W Papermill Run Unit 311, Kimberly, WI 54136-5507