Organization Active NPI

William E. Nowak, D.O.

  • Obstetrics & Gynecology Physician
  • Acme, MI
National Provider Identifier
1770619488
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
WN007303 Issued in MI
Legal business name
WILLIAM E. NOWAK, D.O.
Practice address
3990 East M72
Acme, MI 49610-1739
Phone
(231) 938-2366
Fax
(231) 938-5841
NPI assigned
Feb 26, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. William Eugene Nowak, D.O.NPI 1194902163
Title
Physician
Phone
(231) 938-2366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X WN007303 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

3990 East M72
Acme, MI 49610-1739

Mailing address

PO Box 1739
Acme, MI 49610-1739
Phone (231) 938-2366

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1435577MedicaidMI

Other names 1

NPPES NPI Registry
  • Women's Health Pavilion Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2007.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1770619488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1739",
            "city": "ACME",
            "state": "MI",
            "postal_code": "496101739",
            "telephone_number": "231-938-2366",
            "fax_number": "231-938-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 EAST M72",
            "city": "ACME",
            "state": "MI",
            "postal_code": "496101739",
            "telephone_number": "231-938-2366",
            "fax_number": "231-938-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. NOWAK, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-938-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "WN007303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acme, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.