Active NPI
William F. Nowlin Jr., M.D.
- Surgery Physician
- Valparaiso, IN
National Provider Identifier
1194735902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22552
- Practice address
- 1200 Roosevelt PL
Valparaiso, IN 46383-3707 - Phone
- (219) 464-2218
- Fax
- (219) 477-4131
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22552 | IN | Primary |
Addresses
Primary practice location
1200 Roosevelt PL
Valparaiso, IN 46383-3707
Mailing address
1200 Roosevelt PL
Valparaiso, IN 46383-3707
Phone (219) 464-2218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000082834 | Other | IN | ANTHEM BLUE CROSS |
| 100160080A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22552 | IN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1194735902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 ROOSEVELT PL",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833707",
"telephone_number": "219-464-2218",
"fax_number": "219-477-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROOSEVELT PL",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833707",
"telephone_number": "219-464-2218",
"fax_number": "219-477-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWLIN",
"first_name": "WILLIAM",
"middle_name": "F.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "22552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000082834",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100160080A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.