Andrea Nowak MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ANDREA NOWAK MD PC

Practice address

409 Plymouth Rd Ste 126
Plymouth, MI 48170-4080

Phone

(734) 404-7002

Fax

(734) 468-0465

NPI assigned

Oct 25, 2014

Last updated

Aug 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Nowak, MDNPI 1013921857

Title

Self

Phone

(313) 205-5940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea E Nowak, MD

  • Psychiatry Physician
  • Plymouth, MI
  • NPI 1013921857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1619372299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 126",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704080",
            "telephone_number": "734-404-7002",
            "fax_number": "734-468-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 126",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704080",
            "telephone_number": "734-404-7002",
            "fax_number": "734-468-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA NOWAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "313-205-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Anderson II, BS, MPA, CAS, CPC
• Tara Anderson
• Travis R Anderson
• Wendolyn Anderson, MSW
• Wyatt Anderson
• Andrea S. Vivian, DDS, PC (Village Dental Care)
• Sophia Andres
• Kyle Andrews, M.A.
• Lisa Anger
• Louise Ann Angerer

• Psychiatry Physician in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.