DR. RONALD V. WASHAK D.O.
NPI 1265548945
Surgery - Plastic and Reconstructive Surgery in Rockford, IL

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

Active since August 22, 2006

2300 N ROCKTON AVE, PLASTIC SURGERY DEPT, ROCKFORD, IL 61103(815) 971-2000(815) 971-9924 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ronald V. Washak D.o. NPPES

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

DR. RONALD V. WASHAK D.O. (NPI 1265548945) is an individual plastic and reconstructive surgery provider in Rockford, Illinois, licensed in Illinois (036-128815) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1265548945

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. RONALD V. WASHAKCredential: D.O.

Location Address2300 N ROCKTON AVE, PLASTIC SURGERY DEPTRockford, IL 61103-3619

Mailing Address2300 N Rockton Ave, Plastic Surgery DeptRockford, IL 61103-3619 · (815) 971-2000 · Fax (815) 971-9924

Phone(815) 971-2000

Fax(815) 971-9924

Sole ProprietorNo

Enumeration DateAugust 22, 2006

Last NPPES UpdateJanuary 29, 2015

✔ NPI 1265548945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in IL · 036-128815

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 036-128815 (IL)

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 036-128815 (IL)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 036128815 (IL)

2300 N ROCKTON AVE, Rockford, IL 61103

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Other Identifiers 3

Medicare PIN543300101WI

Medicaid1265548945WI

Medicare UPINE96162

Other Providers at the Same Location NPPES 20

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

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