Individual provider Active NPI

Donald M Nowinski Jr., MD

  • Diagnostic Radiology Physician
  • Wausau, WI
National Provider Identifier
1295744100
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29378 Issued in WI
Practice address
3200 Westhill Dr
Suite 210
Wausau, WI 54401-4705
Phone
(715) 847-2020
Fax
(715) 847-0020
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29378 WI Primary

Addresses

Primary practice location

3200 Westhill Dr
Suite 210
Wausau, WI 54401-4705

Mailing address

3200 Westhill Dr
Suite 210
Wausau, WI 54401-4705
Phone (715) 847-2020

Other identifiers 1

IdentifierTypeStateIssuer
32665300MedicaidWI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Wausau, SC Diagnostic Radiology PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295744100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR",
            "address_2": "SUITE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014705",
            "telephone_number": "715-847-2020",
            "fax_number": "715-847-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR",
            "address_2": "SUITE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014705",
            "telephone_number": "715-847-2020",
            "fax_number": "715-847-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWINSKI",
        "first_name": "DONALD",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "29378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32665300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.