Bonnie Jean Nowaczyk, M D

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

4301047035 Issued in MI

Practice address

1500 Weiss St
Saginaw, MI 48602-5251

Phone

(989) 497-2500

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770511925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 WEBSTER RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239019",
            "telephone_number": "989-695-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025251",
            "telephone_number": "989-497-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWACZYK",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MI",
            "license": "4301047035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Notter, RPH
• Caeley Novak
• Kelly Lyn Novak, M.ED.
• Makayla Novello
• Bernard D Noveloso, MD
• Jude Eyad Fayez Nowar, MD
• Sarah Noyes, FNP-BC
• David Gordon Nuechterlein
• Jessica Jayne Nugent
• Nathaniel Raymond Nunez

• Military Health Care Provider in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Military Health Care Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.