Active NPI
Nicholas John Tarnowski, PA
- Physician Assistant
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016143
- Practice address
- 33-57 Harrison St
Johnson City, NY 13790-2107 - Phone
- (607) 763-6412
- Fax
- (607) 763-5854
- NPI assigned
- Oct 23, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016143 | NY | Primary |
Addresses
Primary practice location
33-57 Harrison St
Johnson City, NY 13790-2107
Mailing address
346 Grand Ave
Johnson City, NY 13790-2580
Phone (607) 729-8156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03521386 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160915000630 | MO | Practitioner - Physician Assistant | 7416100185 | Reassigns benefits to 1 organization |
| I20170316002550 | KS | Practitioner - Physician Assistant | 7416100185 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227
10720 Nall Ave
Overland Park, KS 66211-1206
10777 Nall Ave
Psych
Overland Park, KS 66211-1362
Phone (913) 588-1227
10790 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227
12000 W 151St St
Olathe, KS 66062-7200
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013
4000 Cambridge St
Kansas City, KS 66160-8500
4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227
Hospital & facility affiliations
- University of Kansas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016143 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| Kansas University Physicians Inc | Past | Accepting new patients |
Locations
2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
12000 W 151st St
Olathe, KS 66062
Phone (913) 588-2000
10730 Nall Ave
Ste 201
Overland Park, KS 66211
Phone (913) 945-7000
10730 Nall Ave
Ste 101
Overland Park, KS 66211
Phone (713) 754-2800
10730 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 574-1460
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Kansas City, KS
- NPI 1528019502
KS
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1336188242
MO
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Dentist
- Westwood, KS
- NPI 1295845758
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1104179530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 GRAND AVE",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902580",
"telephone_number": "607-729-8156",
"fax_number": "607-729-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33-57 HARRISON ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902107",
"telephone_number": "607-763-6412",
"fax_number": "607-763-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARNOWSKI",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-23",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "016143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03521386",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
- Nirgiz Taha, NP
- May Leng Tai, MD
- Marion Eunice Berbano Tamesis, M.D.
- Beng Jit Tan, MD, PHD
- Christy Michelle Tanton, PT, DPT, MS
- Emily Rose Tartamella, MS, CCC-SLP
- Amanda Tessitore, NP
- Danielle Testani, FNP
- The Child Development Council
- The Handicapped Children'S Association of Southern New York, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.