Active NPI
Ivan N Pawlowicz, MD
- Psychiatry Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N1829
- Practice address
- 700 E Marshall Ave
Longview, TX 75601-5580 - Phone
- (903) 315-1488
- Fax
- (903) 315-1656
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD60082367 | WA | |
| Psychiatry Physician | 2084P0800X | N1829 | TX | Primary |
Addresses
Primary practice location
700 E Marshall Ave
Longview, TX 75601-5580
Mailing address
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 331-5148
Other practice location 1
2101 W Loop 281 Ste A
Longview, TX 75604-2506
Phone (903) 315-2400
Other practice location 2
1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 983-2492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Texas Tech University Health Science Center School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
323 E Hawkins Pkwy
Longview, TX 75605-8153
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1829 | TX | MD | Psychiatry Physician |
| MD60082367 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Ivan Noe Pawlowicz MD | Psychiatry | Current | Accepting new patients |
| Christus Good Shepherd Medical Center | Current | Accepting new patients | |
| Christus Good Shepherd Medical Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Pain Associates of Longview PLLC | Past | Accepting new patients | |
| Anesthesia Consultants of Longview | Past | Accepting new patients |
Locations
1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630
615 Clinic Dr
Longview, TX 75605
Phone (903) 212-3105
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- ipawlowicz147259@christushealth.direct-ci.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Anesthesiology Physician
- Marshall, TX
- NPI 1760908404
-
- Psychiatry Physician
- Longview, TX
- NPI 1285138347
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Anesthesiology Physician
- Longview, TX
- NPI 1154378248
-
- Pain Medicine (Anesthesiology) Physician
- Longview, TX
- NPI 1164827507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1386844736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015580",
"telephone_number": "903-331-5148",
"fax_number": "903-315-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015580",
"telephone_number": "903-315-1488",
"fax_number": "903-315-1656"
}
],
"practiceLocations": [
{
"address_1": "2101 W Loop 281 Ste A",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756042506",
"country_code": "US",
"telephone_number": "903-315-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1612 S Henderson Blvd",
"address_purpose": "LOCATION",
"city": "Kilgore",
"state": "TX",
"postal_code": "756623518",
"country_code": "US",
"telephone_number": "903-983-2492",
"fax_number": "903-315-3858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAWLOWICZ",
"first_name": "IVAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60082367",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N1829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.