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

NPI Information

NPI: 1265548945
Provider Name: DR. RONALD V. WASHAK, D.O.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
2300 N ROCKTON AVE
PLASTIC SURGERY DEPT
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-2000
Get Directions

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
1	207Y00000X	Otolaryngology		036-128815	ILLINOIS	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	036-128815	ILLINOIS	No
3	2082S0105X	Plastic Surgery	Surgery of the Hand	036128815	ILLINOIS	No
4	2086S0122X	Surgery	Plastic and Reconstructive Surgery	036-128815	ILLINOIS	Yes

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
1	543300101	MEDICARE PIN	WISCONSIN
2	1265548945	MEDICAID	WISCONSIN
3	E96162	MEDICARE 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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »