DR. RONALD V. WASHAK D.O. NPI 1265548945

NPI Information

  • NPI: 1265548945
  • Provider Name: DR. RONALD V. WASHAK, D.O.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 2300 N ROCKTON AVE
    PLASTIC SURGERY DEPT
    ROCKFORD, IL
    ZIP 61103
  • Phone: (815) 971-2000

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NPI Details

DR. Ronald V. Washak, D.O. is a plastic and reconstructive surgery surgery in Rockford, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Ronald V. Washak, D.O. NPI is 1265548945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 N ROCKTON AVE
PLASTIC SURGERY DEPT
ROCKFORD, IL
ZIP 61103-619
Phone: (815) 971-2000
Fax: (815) 971-9924

The enumeration date for this NPI number is 8/22/2006 and was last updated on 1/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology036-128815ILLINOISNo
2207YS0123XOtolaryngologyFacial Plastic Surgery036-128815ILLINOISNo
32082S0105XPlastic SurgerySurgery of the Hand036128815ILLINOISNo
42086S0122XSurgeryPlastic and Reconstructive Surgery036-128815ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1543300101MEDICARE PINWISCONSIN
21265548945MEDICAIDWISCONSIN
3E96162MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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