Ivan Noe Pawlowicz MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N1829 Issued in TX

Legal business name

IVAN NOE PAWLOWICZ MD

Practice address

615 Clinic Dr
Longview, TX 75605-5172

Phone

(903) 212-3105

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Ivan Pawlowicz, MDNPI 1386844736

Title

Owner

Phone

(903) 331-0506

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan N Pawlowicz, MD

  • Psychiatry Physician
  • Longview, TX
  • NPI 1386844736

  Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1285138347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 CELEBRATION WAY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CLINIC DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055172",
            "telephone_number": "903-212-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN NOE PAWLOWICZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "PAWLOWICZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-331-0506",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "N1829",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Warren Irwin Jr., R.PH.
• Celestine Chima Emmanuel Ishiekwene, M.D. MBA
• Isn Longview Associates
• Isn Sleep Center of East Texas, LLC
• Bemisal Itmer, DDS
• Ivy Healthcare
• J.L. Miguez, Inc.
• Christyn Eve Jaap
• Jack Jones Hearing Center, Inc
• Tawanna Nicole Jackson-Scott, LCDC

• Psychiatry Physician in Longview, TX
• Providers in Longview, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.