DR. WALTER BODJANAC (NPI# 1376525188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376525188 |
| Entity Type | Individual |
| Full Name | DR. WALTER BODJANAC |
| Credential | D.O. |
| Practice Address |
2981 W 4th St Ontario OH 44906-1267 |
| Practice Telephone | 4197569996 |
| Mailing Telephone | 4197569996 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 34-00-5512-B | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 34-00-5512-B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA MGD CHOICE | 5489782 | 01 |
| OH | 0161355 | 05 | |
| OH | AETNA GOLDEN | 2171126 | 01 |
| OH | ANTHEM | 000000141877 | 01 |
| OH | QUAL CHOICE | 91970 | 01 |
| OH | CIGNA | 1143537003 | 01 |
| Street Address |
2981 W 4TH ST |
| City | ONTARIO |
| State | OH |
| Zip Code | 44906-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194154294 | Galion Community Hospital | Clinic/Center | 2981 W 4th St, Ontario, OH 44906-1267 | 2013-11-08 |
| 1689822827 | North Central Ohio Family Care Center, Inc | Specialist | 2981 W 4th St, Ontario, OH 44906-1267 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093834491 | Catherine A Walsh | Plastic Surgery | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672439 | Stratus Plastic Surgery LLC | Plastic Surgery | 7227 N High St Ste 256, Worthington, OH 43085-2575 | 2019-10-30 |
| 1467910737 | Sarkos Plastic Surgery LLC | Plastic Surgery | 2662 Elm Rd Bldg C, Cortland, OH 44410-9393 | 2019-03-06 |
| 1710454368 | Surfield Plastic Surgery, LLC | Plastic Surgery | 701 Tyler St Ste 301, Sandusky, OH 44870-3321 | 2018-10-31 |
| 1376931105 | Jacob Keith Crittenden IIi | Plastic Surgery | 621 Tusculum Ave, Cincinnati, OH 45226-1771 | 2015-01-01 |
| 1689910184 | Thomas Eades Shaw | Plastic Surgery | 3480 Roundwood Rd, Chagrin Falls, OH 44022-6636 | 2013-01-02 |
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1427312123 | Carmen Paradis | Plastic Surgery | 10311 Bartholomew Rd, Chagrin Falls, OH 44023-2303 | 2012-06-27 |
| 1639455546 | Mehmet Bozkurt | Plastic Surgery | Cleveland Clinic 9500 Euclid Avenue A60, Cleveland, OH 44195-0001 | 2011-10-25 |
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
| Find all providers with the same taxonomy | ||||
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| 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.