Active NPI
Paul C Nowak, M.D.
- Pediatric Adolescent Medicine Physician
- El Paso, TX
National Provider Identifier
1033260641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- K5366
- Practice address
- 1225 E Cliff Dr
BLDG. 3 Suite 100
El Paso, TX 79902-4732 - Phone
- (915) 545-2600
- Fax
- (915) 533-8950
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | K5366 | TX | Primary |
Addresses
Primary practice location
1225 E Cliff Dr
BLDG. 3 Suite 100
El Paso, TX 79902-4732
Mailing address
1225 E Cliff Dr
BLDG. 3 Suite 100
El Paso, TX 79902-4732
Phone (915) 545-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092302101 | Medicaid | TX | |
| 412159840 | Other | TX | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5366 | TX | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul C. Nowak, M.D., F.a.a.P. | Past | Accepting new patients | |
| Tenet Hospitals Limited | Past | Accepting new patients |
Interoperability endpoints
- paulnowak@nowak.directglo.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- El Paso, TX
- NPI 1134606395
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033260641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E CLIFF DR",
"address_2": "BLDG. 3 SUITE 100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024732",
"telephone_number": "915-545-2600",
"fax_number": "915-533-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 E CLIFF DR",
"address_2": "BLDG. 3 SUITE 100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024732",
"telephone_number": "915-545-2600",
"fax_number": "915-533-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "K5366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092302101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "412159840",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.