Individual provider Active NPI

John Anthony Bojanski, PA-C

  • Physician Assistant
  • Laredo, TX
National Provider Identifier
1043841919
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13362 Issued in TX
Practice address
10410 Medical Loop BLDG 6B
Laredo, TX 78045-6906
Phone
(956) 728-8121
NPI assigned
Jan 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13362 TX Primary

Addresses

Primary practice location

10410 Medical Loop BLDG 6B
Laredo, TX 78045-6906

Mailing address

1006 E Hillside Rd # 1
Laredo, TX 78041-3287
Phone (956) 724-7179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022001769 TX Practitioner - Physician Assistant 7719375864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Arthritis and Rheumatology Center PLLCGroup PAC ID 1153577747, 4 clinicians

Practice addresses (Care Compare)

10410 Medical Loop
Laredo, TX 78045-6671

10410 Medical Loop
BLDG 6B
Laredo, TX 78045-6906
Phone (956) 728-8121

1915 S Zapata Hwy
Laredo, TX 78046-6154
Phone (956) 728-8121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Optical Images LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1006 E Hillside Rd
#1
Laredo, TX 78041
Phone (956) 401-6615

Interoperability endpoints

  • Direct secure messaging: john.bojanski@eyecenters.emadirect.md

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1043841919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 E HILLSIDE RD # 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413287",
            "telephone_number": "956-724-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP BLDG 6B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456906",
            "telephone_number": "956-728-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJANSKI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.