Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bogdan Protyniak, MD, FACS, FASCRS

Individual provider Surgery Physician · NPI 1154632388

Dr. Bogdan Protyniak, MD, FACS, FASCRS is a General Surgery in Wilkes Barre, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

1000 E Mountain Blvd Mc: 37-62
Wilkes Barre, PA 18711
Phone: (570) 808-2340
Fax: (570) 808-7904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD457834 (PA)
Surgery Physician Taxonomy 208600000X · Licence MD457834 (PA)

Record details

NPI number1154632388
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS , FASCRS
Sole proprietorNo
NPI enumeratedJune 22, 2010
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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