Individual provider Active NPI

Lynn Wojtasik, MD

  • Surgery Physician
  • Ravenna, OH
National Provider Identifier
1740232735
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35077399 Issued in OH
Practice address
3973 Loomis Pkwy
Suite B
Ravenna, OH 44266-1803
Phone
(330) 296-8239
Fax
(330) 296-6528
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35077399 OH Primary

Addresses

Primary practice location

3973 Loomis Pkwy
Suite B
Ravenna, OH 44266-1803

Mailing address

3973 Loomis Pkwy
Suite B
Ravenna, OH 44266-1803
Phone (330) 296-8239

Other identifiers 1

IdentifierTypeStateIssuer
2403090MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000698 OH Practitioner - General Surgery 6709915879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portage Surgical Associates IncGroup PAC ID 8123052586, 2 clinicians

Practice addresses (Care Compare)

3973 Loomis Pkwy
Suite a
Ravenna, OH 44266-1803
Phone (330) 296-8239

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077399OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Surgical Associates Inc Surgery CurrentSince Jul 1, 2003 Accepting new patients

Locations

1860 State Rd
Cuyahoga Fls, OH 44223
Phone (330) 923-0481

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

3973 Loomis Pkwy
Ste B
Ravenna, OH 44266
Phone (330) 296-8239

3973 Loomis Pkwy
Ste A
Ravenna, OH 44266
Phone (330) 296-8239

Interoperability endpoints

  • Direct secure messaging: lwojtasik36850@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1740232735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 LOOMIS PKWY",
            "address_2": "SUITE B",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661803",
            "telephone_number": "330-296-8239",
            "fax_number": "330-296-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 LOOMIS PKWY",
            "address_2": "SUITE B",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661803",
            "telephone_number": "330-296-8239",
            "fax_number": "330-296-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTASIK",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35077399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2403090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.