Orest Myroslav Wasyliw, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

127451 Issued in NY

Practice address

441 Riverside Drive
Johnson City, NY 13790-2711

Phone

(607) 729-2474

Fax

(607) 770-9271

NPI assigned

Nov 8, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1689744526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 RIVERSIDE DRIVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902711",
            "telephone_number": "607-729-2474",
            "fax_number": "607-770-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 RIVERSIDE DRIVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902711",
            "telephone_number": "607-729-2474",
            "fax_number": "607-770-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASYLIW",
        "first_name": "OREST",
        "middle_name": "MYROSLAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "127451",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD038483E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00790607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Greer Wanchisen
• Zabih Ullah Warraich, MD
• Douglas Vaughn Washburn, M.ED.
• Connor Wasilnak, PA
• Linda Marie Wasser, OT
• Nicole Leann Weber, MD
• Richard Webster, DO
• Wegmans Food Markets, Inc.
• Jacqueline M Weir, MA, CCC-SLP
• Christopher Welch

• Orthopaedic Surgery Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.