Individual provider Active NPI

John K Podnewich, NP

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1528257573
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP116185 Issued in TX
Practice address
1908 Highway 365
Nederland, TX 77627-5503
Phone
(409) 729-1900
Fax
(409) 729-1905
NPI assigned
Oct 16, 2007
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 660665 TX
Family Nurse Practitioner 363LF0000X AP116185 TX Primary

Addresses

Primary practice location

1908 Highway 365
Nederland, TX 77627-5503

Mailing address

1908 Highway 365
Nederland, TX 77627-5503
Phone (409) 729-1900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000302 TX Practitioner - Nurse Practitioner 7012091325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid County Urgent Care, PLLCGroup PAC ID 9739339185, 4 clinicians
Orange County Urgent Care PLLCGroup PAC ID 5193045839, 6 clinicians
Hardin County Urgent Care PLLCGroup PAC ID 1153736657, 5 clinicians

Practice addresses (Care Compare)

1908 Hwy 365
Nederland, TX 77627-5503
Phone (409) 729-1900

220 Strickland Dr
Orange, TX 77630-4750
Phone (409) 330-4707

655 S Main St
Lumberton, TX 77657-7378
Phone (409) 227-4084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Urgent Care PLLC CurrentSince Dec 4, 2014 Accepting new patients
Hardin County Urgent Care PLLC CurrentSince Mar 1, 2021 Accepting new patients
Mid County Urgent Care, PLLC CurrentSince Sep 24, 2012 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

655 S Main St
Lumberton, TX 77657
Phone (409) 227-4084

1908 Highway 365
Nederland, TX 77627
Phone (409) 729-1900

220 Strickland Dr
Orange, TX 77630
Phone (409) 330-4707

Organizations & group practices 4

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1528257573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275503",
            "telephone_number": "409-729-1900",
            "fax_number": "409-729-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275503",
            "telephone_number": "409-729-1900",
            "fax_number": "409-729-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODNEWICH",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "660665",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP116185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.