DR. BOHDAN WSEWOLOD DOBERCZAK (NPI# 1336225630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336225630 |
| Entity Type | Individual |
| Full Name | DR. BOHDAN WSEWOLOD DOBERCZAK |
| Credential | M.D. |
| Practice Address |
7900 Old York Rd Apartment 105a Elkins Park PA 19027-2318 |
| Practice Telephone | 2152243330 |
| Practice Fax Number | 2156419987 |
| Mailing Telephone | 2152243330 |
| Mailing Fax Number | 2156419987 |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD020681E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PERSONAL CHOICE | 0046255000 | 01 |
| PA | RAILROAD MEDICARE | P00050626 | 01 |
| PA | CAQH | 11559069 | 01 |
| Street Address |
7900 OLD YORK RD APARTMENT 105A |
| City | ELKINS PARK |
| State | PA |
| Zip Code | 19027-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770535361 | Frances G. Martin | Psychologist | 7900 Old York Rd, Suite 110b, Elkins Park, PA 19027-2318 | 2006-05-16 |
| 1962927996 | Meghan Foley Graham | Dentist | 7900 Old York Rd, Elkins Park, PA 19027 | 2017-08-10 |
| 1255880159 | Peace of Mind Social Services | Home Health | 7900 Old York Rd, 700a, Elkins Park, PA 19027-2318 | 2016-10-03 |
| 1316493471 | Elkins Park Orthodontics PC | Dentist | 7900 Old York Rd, Suite 108a, Elkins Park, PA 19027-2318 | 2016-08-29 |
| 1801243381 | Trees of Goodness Counseling, LLC | Counselor | 7900 Old York Rd, Suite 109a, Elkins Park, PA 19027-2318 | 2016-05-16 |
| 1316392566 | Elkins Park Dental, Inc. | Clinic/Center | 7900 Old York Rd, Suite 115a, Elkins Park, PA 19027-2318 | 2016-04-25 |
| 1316303969 | Carol Ann Carter | Counselor | 7900 Old York Rd, 105a, Elkins Park, PA 19027-2318 | 2016-01-12 |
| 1689915316 | Elkins Park Oral Surgery, Inc | Dentist | 7900 Old York Rd, 115 A, Elkins Park, PA 19027-2318 | 2013-03-05 |
| 1497027411 | Northeast Home Care Specialists, Inc. | In Home Supportive Care | 7900 Old York Rd, 114b, Elkins Park, PA 19027-2318 | 2012-02-07 |
| 1780817650 | Elkins Park Orthodontist | Clinic/Center | 7900 Old York Rd, Suite 108a, Elkins Park, PA 19027-2318 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817915 | Dulie Rene | Nurse Practitioner | 7801 Old York Road, Elkins Park, PA 19027 | 2020-03-26 |
| 1003384926 | Mikael Laursen Brucker | Acupuncturist | 710 Meetinghouse Rd, Elkins Park, PA 19027 | 2018-11-08 |
| 1992289466 | Paragon Home Care LLC | In Home Supportive Care | 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 | 2018-09-20 |
| 1932697406 | Elkins Park Chiropractic Center LLC | Chiropractor | 1831 W. Cheltenham Ave, Elkins Park, PA 19027 | 2018-04-30 |
| 1952802589 | Bilingual Brain Inc. | Speech-Language Pathologist | 610 Old York Road Suite 400, Jenkintown, PA 19027 | 2018-02-28 |
| 1063925618 | Love Thy Neighbor Care Service, LLC | In Home Supportive Care | 939 Township Line Rd Unit 3, Elkins Park, PA 19027 | 2017-11-06 |
| 1679029821 | Mosley Group Inc | Home Health | 7208 Chestnut Ave, 1, Melrose Park, PA 19027 | 2016-08-28 |
| 1740638576 | Einstein Medical Center | Specialist | 60 Township Line Road, Elkins Park, PA 19027 | 2016-06-02 |
| 1457720385 | Effraim Home Care Agency LLC | Home Health | 2001a South John Russell Circle, Elkins Park, PA 19027 | 2015-09-22 |
| 1083044531 | Liberty Human Services, LLC | Community/Behavioral Health | 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 | 2013-11-20 |
| Find all providers in zip 19027 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253067 | Bijan Etemad | Psychiatry & Neurology | 15 Wistar Rd, Villanova, PA 19085-1512 | 2009-05-21 |
| 1912106667 | Henry Litvin | Psychiatry & Neurology | 134 Cardinal Rd, Jenkintown, PA 19046-3907 | 2007-07-13 |
| 1922188879 | Rona Pasternak | Psychiatry & Neurology | 714 N Ithan Ave, Bryn Mawr, PA 19010-1730 | 2006-10-16 |
| 1083724884 | Levy Psychiatric Associates LLC | Psychiatry & Neurology | 8001 Roosevelt Blvd Suite 100, Philadelphia, PA 19152 | 2006-08-30 |
| 1700895240 | Delaware Valley Behavioral Health, P.C. | Psychiatry & Neurology | 1305 Medford Rd, Wynnewood, PA 19096-2418 | 2006-08-05 |
| 1730196379 | Robert M Rapkin | Psychiatry & Neurology | 1800 Three Mile Run Rd, Perkasie, PA 18944-2027 | 2006-08-02 |
| 1629044292 | Nicholas Tsopelas | Psychiatry & Neurology | 3535 Market Street, 3rd Floor, Philadelphia, PA 19104-2593 | 2006-02-24 |
| 1235119496 | Shivam Hingorani | Psychiatry & Neurology | 2001 Hamilton St, 1528, Philadelphia, PA 19130-4201 | 2006-01-21 |
| 1740278258 | Raul Rodriguez-feo | Psychiatry & Neurology | 132 Walnut St, Johnstown, PA 15901-1621 | 2005-10-10 |
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| Find all providers with the same taxonomy | ||||
| City | ELKINS PARK |
| Zip Code | 19027 |
Please comment or provide details below to improve the information on DR. BOHDAN WSEWOLOD DOBERCZAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.