Limited public information available

This provider is listed in NPPES, but additional records were not identified in the sources currently connected. Additional information may be available directly from official licensing authorities.

JOHDINANN HARTLEY WACLAWSKI, PAS

PhysicianPASPhysician Assistant

TRAVERSE CITY, MINPI · 1013731124Verified via NPPES

State verification availableSave

Source: NPPES NPI Registry

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Identity & practice

Legal name: JOHDINANN HARTLEY WACLAWSKI, PAS
Profession: Physician
NPI: 1013731124
Primary specialty: Physician Assistant
Taxonomy code: 363A00000X
Practice status: Not on record
Credentials: PAS
Practice address: 2200 DENDRINOS DRIVE · TRAVERSE CITY, MI, 49684

Provider Intelligence

Everything public we can show about JOHDINANN HARTLEY WACLAWSKI, PAS

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State licenses

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Board certifications

Specialty certification reported by a recognised certifying board.

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Education

Professional school and degree records located in connected public sources.

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Not yet ingested

Education is published inconsistently across states. Absence here does not mean absence of training.

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Residency & fellowship

Postgraduate training programmes reported in public records.

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Not yet ingested

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Hospital affiliations

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Practice locations

Addresses where the provider is publicly listed as practising.

Public records available

1 location

2200 DENDRINOS DRIVE · TRAVERSE CITY, MI, 49684 · Primary practice address (NPPES)6163315700Source record

Registry addresses lag reality. Always confirm the location before travelling to an appointment.

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Public disciplinary actions

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NPI details

The federal identity record every U.S. provider must maintain.

Public records available

NPI 1013731124

Legal name · JOHDINANN HARTLEY WACLAWSKI, PAS
Credentials · PAS
Primary taxonomy · Physician Assistant363A00000X

NPPES is self-maintained by the provider, so contact details can be out of date.

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CMS participation

Whether the provider is enrolled in Medicare and accepting assignment.

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Look up on Medicare Care Compare

Medicare enrolment and assignment status are published by CMS and change frequently. Confirm before booking.

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OIG exclusion status

Whether the provider appears on the federal list of excluded individuals.

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Search the OIG LEIE

Exclusion lists are name-based and can return similar names. Confirm identity fields before drawing a conclusion.

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Open Payments

Payments and transfers of value reported by drug and device manufacturers.

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Years in practice

Time since the earliest licensing or practice record Phoenix can see.

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No dated record yet

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Languages

Languages spoken in the practice.

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Language capability is rarely published in a reliable public dataset, so Phoenix will not guess it.

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Accepted insurance

Plans and networks the provider participates in.

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Network participation changes mid-year and varies by plan and location. Your insurer's directory is the only reliable source.

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Procedure & specialty intelligence

What the specialty and taxonomy records say this provider is trained to do.

Public records available

1 specialty record

Physician Assistant · Primary specialty (NPPES taxonomy)363A00000XSource record

Specialty codes describe scope of training, not procedure volume, outcomes, or suitability for your situation.

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Practice Locations & Affiliations

Compiled from NPPES, CMS PECOS, and hospital directories

Primary Practice Location · NPPES

JOHDINANN HARTLEY WACLAWSKI, PAS

2200 DENDRINOS DRIVE · TRAVERSE CITY, MI, 49684

Phone · 6163315700

Verified · NPPES

Source: NPPES NPI Registry

MUNSON MEDICAL CENTER

Healthcare Organization

420 BROOK ST · TRAVERSE CITY, MI, 49684

Phone · 2319355000

medium confidence