Active NPI
Bohdan Zenon Danysh, MD
- Obstetrics & Gynecology Physician
- Southgate, MI
National Provider Identifier
1831179753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301043081
- Practice address
- 15777 Northline Rd
Ste 201
Southgate, MI 48195-2385 - Phone
- (734) 246-8100
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301043081 | MI | Primary |
Addresses
Primary practice location
15777 Northline Rd
Ste 201
Southgate, MI 48195-2385
Mailing address
15500 Lundy Pkwy
Dearborn, MI 48126-2778
Phone (313) 586-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Oakwood Youth Programs, LLC | Past | Accepting new patients |
Interoperability endpoints
- bdanysh1230468@epic00.shdirect.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- Physical Medicine & Rehabilitation Physician
- Dearborn, MI
- NPI 1790959120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1831179753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15500 LUNDY PKWY",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262778",
"telephone_number": "313-586-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15777 NORTHLINE RD",
"address_2": "STE 201",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952385",
"telephone_number": "734-246-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANYSH",
"first_name": "BOHDAN",
"middle_name": "ZENON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301043081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.