Bohdan Alexander Makarewycz, M.D.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

G33167 Issued in CA

Practice address

1800 Sullivan Ave
Daly City, CA 94015-2228

Phone

(650) 991-1600

NPI assigned

Sep 12, 2005

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1326032830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FAIRFAX AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022263",
            "telephone_number": "650-991-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "650-991-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAREWYCZ",
        "first_name": "BOHDAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "G33167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nejad Nasir Mahmud, M.D.
• Jessica B. Mahoney, MD
• Sophia Rafaa Majeed, PHARMD
• Gilda L Major
• Homero Mak, DDS
• Adele Makow, M.D
• Crystalyn Malbas
• Audrey Rose Malicdem
• Rachel L Malina, MD
• Wenyan Man, M.D.

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.