John K Podnewich, NP
Individual provider Active NPI Family Nurse Practitioner · Nederland, TX
NPI 1528257573 · NPPES record last updated May 3, 2017
Key facts
- NPI
- 1528257573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP116185 (TX)
- Practice address
- 1908 Highway 365
Nederland, TX 77627-5503 - Phone
- (409) 729-1900
- Fax
- (409) 729-1905
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid County Urgent Care, PLLC
Orange County Urgent Care PLLC
Hardin County Urgent Care PLLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080226000302 | TX | Practitioner - Nurse Practitioner | 7012091325 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP116185 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid County Urgent Care, PLLC | Current |
Accepting new patients | |
| Orange County Urgent Care PLLC | Current |
Accepting new patients | |
| Hardin County Urgent Care PLLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 660665 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP116185 | TX | Yes |
Addresses
Primary practice location
1908 Highway 365
Nederland, TX 77627-5503
Mailing address
1908 Highway 365
Nederland, TX 77627-5503
Phone (409) 729-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | PENDING |
Other providers in Nederland, TX
- Thomas Pham
- Jimmie Rex Phillips
- Thao Ly Phung
- Pickard Gossett & Sawisky LLP
- Isa Maria Pierce
- Sreedhar Polavarapu
- Pressley Ridge Children and Family Services
- Priority Wound Care LLC
- David Lee Prioux Jr.
- PRN Medical Services Inc
All providers in Nederland, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.