Individual provider Active NPI

Robert T Nowell, DO

  • Family Medicine Physician
  • Galion, OH
National Provider Identifier
1093785792
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007226N Issued in OH
Practice address
955 Bucyrus Rd
Galion, OH 44833
Phone
(419) 468-4220
Fax
(419) 462-7019
NPI assigned
Jan 25, 2006
Last updated
Jun 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007226N OH Primary

Addresses

Primary practice location

955 Bucyrus Rd
Galion, OH 44833

Mailing address

PO Box 607
Galion, OH 44833-0607
Phone (419) 468-0511

Other identifiers 2

IdentifierTypeStateIssuer
000000367567MedicaidOH
2209514MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000735 OH Practitioner - Family Practice 8628961588 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Colemans Xing
Suite B
Marysville, OH 43040-7115
Phone (937) 578-4310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Union County CurrentSince Mar 14, 2015 Accepting new patients
Mount Carmel Health System Family Medicine CurrentSince Sep 7, 2013 Accepting new patients
Wedgewood Urgent Care, LTD Family Medicine CurrentSince Oct 16, 2009 Accepting new patients

Locations

4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600

120 Colemans Crossing Blvd
Ste B
Marysville, OH 43040
Phone (937) 578-4310

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

1958 E US Highway 36
Urbana, OH 43078
Phone (937) 652-1834

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1093785792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448330607",
            "telephone_number": "419-468-0511",
            "fax_number": "419-468-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BUCYRUS RD",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-468-4220",
            "fax_number": "419-462-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWELL",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007226N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000367567",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.