Bohdan K Wasiljew, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34717 Issued in WI

Practice address

510 N Terrace St
Janesville, WI 53548-2906

Phone

(608) 756-7277

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD
• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508913120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N TERRACE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482906",
            "telephone_number": "608-756-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N TERRACE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482906",
            "telephone_number": "608-756-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILJEW",
        "first_name": "BOHDAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "34717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31953600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Waraksa, MD
• Carol Ann Ward, LPC,NCC
• Thomas Ward, R.PH.
• Matthew D Warnke, LAC
• George Walter Warren, MSW CAPSW
• Tonya Ann Wason, DDS
• Sean J. Wasson, LPC, CSAC
• Taylor M Watkins, PA-C
• Christopher Watson
• Herbert Tucker Webb III, O.D.

• Surgery Physician in Janesville, WI
• Providers in Janesville, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.