Active NPI
William K Nowotny, D.O.
- Emergency Medicine Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34007390
- Practice address
- 6505 Market St
Boardman, OH 44512-3457 - Phone
- (330) 726-2100
- NPI assigned
- Jun 8, 2006
- Last updated
- Jan 28, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00194541 | Other | OH | MEDICARE TRAVELERS RR-GA |
| 2190203 | Medicaid | OH | |
| 942460636120 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007390 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Emergency Medicine | Current | 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.
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1861457830
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
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
- David Brian Noll, M.S.W.
- Northern Ohio Medical Specialists, LLC (NOMS Ankle & Foot Care Center)
- Northern Ohio Medical Specialists, LLC (NOMS Foot & Ankle Care Center)
- Northland Hearing Centers, Inc (All American Hearing)
- Nova Medical Transportation
- Nubyginnings Home Care LLC
- Aziz R Nuritdinov, MD
- Nydic Open MRI of America-Boardman
- Leah Elizabeth O'Brien, FNP-C
- Linda Ann O'Brien, MA-CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.