WALTER G. BODJANAC, DO, LLC
NPI 1093984767
Plastic Surgery in Mansfield, OH

Q: What is Walter G. Bodjanac, Do, LLC's NPI number?

The NPI number for Walter G. Bodjanac, Do, LLC is 1093984767. It was assigned to this organization in the NPPES registry on February 26, 2008.

Q: What is Walter G. Bodjanac, Do, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since February 26, 2008

770 BALGREEN DR, SUITE 109, MANSFIELD, OH 44906(419) 756-9996 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Walter G. Bodjanac, Do, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER G. BODJANAC, DO, LLC (NPI 1093984767) is a healthcare organization registered as a plastic surgery in Mansfield, Ohio and active in the NPI registry since February 2008. The organization lists Raun D Skyrm, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093984767

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameWALTER G. BODJANAC, DO, LLC

Location Address770 BALGREEN DR, SUITE 109Mansfield, OH 44906-4106

Mailing Address358 Birch StAkron, OH 44301-2602 · (330) 773-3544 · Fax (330) 773-3698

Phone(419) 756-9996

Organization SubpartNo

Authorized OfficialRaun D SkyrmAdministrator · (330) 773-3544

Enumeration DateFebruary 26, 2008

✔ NPI 1093984767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in OH · 34005512

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

770 BALGREEN DR, Mansfield, OH 44906

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Other Identifiers 1

Medicare PIN9357821OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWESTERN CARDIAC SURGERY, INC.

Specialist

770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906

Richland County (419) 522-0320

LAB ONE OF OHIO INC

Clinical Medical Laboratory

770 BALGREEN DR
MANSFIELD, OH 44906

Richland County (419) 283-0714

ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC

Dermatology (Procedural Dermatology)

770 BALGREEN DR, STE 201
MANSFIELD, OH 44906

Richland County (419) 756-1600

WILLIAM SCOTT BALLINGER,M.D.

Internal Medicine

770 BALGREEN DR, SUITE 203
MANSFIELD, OH 44906

Richland County (419) 756-6366

ELIZABETH A BROWN M.D.

Internal Medicine (Pulmonary Disease)

770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906

Richland County (419) 522-0320

JEFFREY M. WALTHOUR PHARM.D.

Pharmacist

770 BALGREEN DR, SUITE 104
MANSFIELD, OH 44906

Richland County (419) 526-8972

CORNERSTONE OB-GYN, INC

Obstetrics & Gynecology

770 BALGREEN DR, SUITE 207
MANSFIELD, OH 44906

Richland County (419) 522-6800

ENT CENTRAL LLC

Otolaryngology

770 BALGREEN DR, SUITE 209
MANSFIELD, OH 44906

Richland County (419) 756-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter G. Bodjanac, Do, LLC's NPI number?

The NPI number for Walter G. Bodjanac, Do, LLC is 1093984767. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Walter G. Bodjanac, Do, LLC located?

Walter G. Bodjanac, Do, LLC is located at 770 Balgreen Dr Suite 109, Mansfield, OH 44906. The listed phone number is (419) 756-9996.

What is Walter G. Bodjanac, Do, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Walter G. Bodjanac, Do, LLC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.