Individual provider Active NPI

Andrew R Nowakowski, DO

  • Family Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1104212950
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013118 Issued in OH
Practice address
838 E Wooster St
Bowling Green, OH 43402-3186
Phone
(419) 372-2271
Fax
(419) 354-3222
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 34.013118 OH Primary

Addresses

Primary practice location

838 E Wooster St
Bowling Green, OH 43402-3186

Mailing address

745 Haskins Rd Ste B
Bowling Green, OH 43402-1600
Phone (419) 373-7607

Other practice location 1

2100 W Central Ave
#200
Toledo, OH 43606-3800
Phone (419) 291-2051

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.nowakowski.p1@direct.whc.nextgenshare.com

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
I20190906002818 OH Practitioner - Family PracticePractitioner - Sports Medicine 2264732205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Health Company LLCGroup PAC ID 7911800461, 61 clinicians

Practice addresses (Care Compare)

838 E Wooster St
Bowling Green, OH 43402-2601
Phone (419) 372-2271

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Health Company LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

838 E Wooster St
Bowling Green, OH 43402
Phone (419) 372-2271

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

5757 Monclova Rd
Ste 17
Maumee, OH 43537
Phone (419) 887-0896

Interoperability endpoints

  • Direct secure messaging: andrew.nowakowski.p1@direct.whc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1104212950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD STE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023186",
            "telephone_number": "419-372-2271",
            "fax_number": "419-354-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Central Ave",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063800",
            "country_code": "US",
            "telephone_number": "419-291-2051",
            "fax_number": "419-479-6952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.nowakowski.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "838 E Wooster St",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434023186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.