Walter L Bernacki MD Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

WALTER L BERNACKI MD INC

Practice address

1085 E. Johnstown Rd.
Gahanna, OH 43230

Phone

(614) 682-5095

Fax

(614) 891-6533

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter Lang Bernacki, M.D.NPI 1871664714

Title

Owner/Physician

Phone

(614) 682-5095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ohio Plastic Surgery Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Lang Bernacki, MD

  • Specialist
  • Gahanna, OH
  • NPI 1871664714
  Medicare reassignment NPD Authorized official
• Christopher G Zochowski, MD

  • Plastic Surgery Physician
  • Gahanna, OH
  • NPI 1487868014
  Medicare reassignment NPD
• Karim T. Attia, MD

  • Nephrology Physician
  • Columbus, OH
  • NPI 1801139217
  NPD (past)
• Shravan Kumar Reddy Likki, MD

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1891136230
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1881877827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 E. JOHNSTOWN RD.",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-682-5095",
            "fax_number": "614-891-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 E. JOHNSTOWN RD.",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-682-5095",
            "fax_number": "614-891-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER L BERNACKI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "BERNACKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LANG",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "614-682-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3160421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Plastic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Plastic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole J Waite, MPT
• David M Walker, DO
• Marcia Alexis Walker, LISW
• Trent D Walker
• Walnut Creek Surgical Suites, LLC
• Christina Marie Ward, APRN FNP-C
• Lauren Ward, PT, DPT
• Bailey Louise Warner
• Sonya Washington
• Watch Home Care LLC

• Plastic and Reconstructive Surgery Physician in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.