DR. RONALD V. WASHAK


Address: 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103-3619
Phone: 8159712000

DR. RONALD V. WASHAK (NPI# 1265548945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265548945
Entity Type Individual
Full Name DR. RONALD V. WASHAK
Credential D.O.
Practice Address 2300 N Rockton Ave
Plastic Surgery Dept
Rockford
IL 61103-3619
Practice Telephone 8159712000
Practice Fax Number 8159719924
Mailing Telephone 8159712000
Mailing Fax Number 8159719924
Enumeration Date 2006-08-22
Last Update Date 2015-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 036-128815 IL Allopathic & Osteopathic Physicians
N 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
036-128815 IL Allopathic & Osteopathic Physicians
N 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
036128815 IL Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
036-128815 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1265548945 05

Office Location

Street Address 2300 N ROCKTON AVE
PLASTIC SURGERY DEPT
City ROCKFORD
State IL
Zip Code 61103-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851394696 Affiliated Surgeons of Rockford LLC Surgery 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 2005-05-24
1538768056 Patti J Wakefield Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2020-10-26
1235759192 Kathryn N Norup Physical Therapy Assistant 2300 N Rockton Ave, Rockford, IL 61103-3619 2020-04-21
1407401912 Eric Paulos Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-08-02
1013479575 Jennifer Davidson Occupational Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-04-03
1508321597 Megan Lee Haas Physical Therapist 2300 N Rockton Ave, Rockford, IL 61103-3619 2019-02-05
1336634179 Molly C Grosvenor Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-06-25
1750870291 Lori Ann Moroz Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-05-09
1063914760 Erika J Oltmanns Dietitian, Registered 2300 N Rockton Ave, Rockford, IL 61103-3619 2018-03-08
1578074753 Dennis Durano Magdadaro Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2017-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1740596808 Swedishamerican Hospital Surgery 6533 Lexus Dr, Rockford, IL 61108 2010-08-27
1437596186 Franklin E Lew Surgery 5995 Spring Creek Rd, Rockford, IL 61114-6481 2013-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1578068524 Jw Operatory Surgery 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 2018-03-29
1780198796 Lin Plastic and Reconstructive Surgery Inc Surgery 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 2017-11-29
1750892923 Alban Ingram Miller Jr. Surgery 1708 Foxborough Ct, Champaign, IL 61822-8503 2017-10-16
1972905545 Jennifer Hein Surgery 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 2014-09-25
1043559842 Msa Alliance, LLC Surgery 1 Broadway Plz, Sparta, IL 62286-1800 2013-02-14
1518223791 Hansel M Debartolo Jr Md Sc Surgery 11 Debartolo Dr., Sugar Grove, IL 60554 2012-04-02
1952692717 Georgios Kokosis Surgery 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 2011-04-28
1497910905 Carlos Mario Rivera Serrano Surgery 1400 Financial Park, Carbondale, IL 62902-7537 2008-07-23
1518129600 Kelli Webb Surgery 1400 Financial Park Drive, Carbondale, IL 62901-0000 2008-06-30
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Competitor

Search similar providers

City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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