Organization Active NPI

Nowlin Surgical, PC

  • Surgery Physician
  • Valparaiso, IN
National Provider Identifier
1629351218
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01022552B Issued in IN
Legal business name
NOWLIN SURGICAL, PC
Practice address
1200 Roosevelt Place
Valparaiso, IN 47383-3707
Phone
(219) 464-2218
Fax
(219) 477-4131
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. William F. Nowlin, M.D.NPI 1194735902
Title
President
Phone
(219) 464-2218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01022552B IN Primary

Addresses

Primary practice location

1200 Roosevelt Place
Valparaiso, IN 47383-3707

Mailing address

1200 Roosevelt PL
Valparaiso, IN 46383-3707
Phone (219) 464-2218

Other identifiers 1

IdentifierTypeStateIssuer
100160080AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1200 Roosevelt Pl
Valparaiso, IN 46383
Phone (219) 464-2218

1200 Roosevelt Pl
#2
Valparaiso, IN 46383
Phone (219) 464-2218

1200 Roosevelt Pl
Ste 2
Valparaiso, IN 46383
Phone (219) 464-2218

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1629351218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROOSEVELT PL",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833707",
            "telephone_number": "219-464-2218",
            "fax_number": "219-477-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROOSEVELT PLACE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "473833707",
            "telephone_number": "219-464-2218",
            "fax_number": "219-477-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWLIN SURGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01022552B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100160080A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.