Individual provider Active NPI

William K Nowotny, D.O.

  • Emergency Medicine Physician
  • Boardman, OH
National Provider Identifier
1235170788
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34007390 Issued in OH
Practice address
6505 Market St
Boardman, OH 44512-3457
Phone
(330) 726-2100
NPI assigned
Jun 8, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34007390 OH Primary

Addresses

Primary practice location

6505 Market St
Boardman, OH 44512-3457

Mailing address

184 Columbiana Rd
New Castle, PA 16102-2904

Other practice location 1

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

Other identifiers 3

IdentifierTypeStateIssuer
P00194541OtherOHMEDICARE TRAVELERS RR-GA
2190203MedicaidOH
942460636120OtherOHCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050203000026 OH Practitioner - Emergency Medicine 5193776524 Reassigns benefits to 1 organization
I20110112000620 PA Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Family Practice 5193776524 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007390OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Nov 28, 2004 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 18, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

6505 Market St
Bldg B
Youngstown, OH 44512
Phone (330) 726-2100

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1235170788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 COLUMBIANA RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-726-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044954",
            "country_code": "US",
            "telephone_number": "440-997-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWOTNY",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34007390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00194541",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190203",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.