Bohdan Theodore Olesnicky, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C53051 Issued in CA

Practice address

47020 Washington St
La Quinta, CA 92253

Phone

(760) 777-8377

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1154362549
  NPD (past)
• Hemet Emergency Med Group @ Menifee Hospital

  • Emergency Medicine Physician
  • Sun City, CA
  • NPI 1265620090
  NPD (past)
• Hemet Emergency Medical Group

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1871538579
  NPD (past)
• Jersey Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1326211095
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1043254709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47020 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "92253",
            "telephone_number": "973-819-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47020 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "92253",
            "telephone_number": "760-777-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESNICKY",
        "first_name": "BOHDAN",
        "middle_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07259900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C53051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanghyun Oh, LAC
• Oic Medical Corporation
• Ingrid Olavson
• Old Town Optix & Optometry, Inc.
• Old Town Optometry Inc
• Petra Olesovsky, PH.D.
• Caroline Evelyn Olson, RD
• Angelique Ontiveros
• Orange County Urgent Care #3, Inc. (MedPost Urgent Care - La Quinta)
• Tania Mara Orozco Mendoza, M.S. SLP

• Emergency Medicine Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.