Thomas Paul Nowak, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME112041 Issued in FL

Practice address

7315 Hudson Ave
Hudson, FL 34667-1158

Phone

(727) 868-9563

Fax

(727) 869-6909

NPI assigned

Sep 14, 2006

Last updated

Jan 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 11, 2017 through Jul 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gcoc Physical Therapy

  • Physical Therapy Clinic/Center
  • Hudson, FL
  • NPI 1861546061
  NPD (past)
• Gulf Coast Orthopedic Center

  • Orthopaedic Surgery of the Spine Physician
  • Hudson, FL
  • NPI 1487765566

  Neurological Surgery

  NPD (past)
• Nevada Spine Center, LLC

  • Specialist
  • Hudson, FL
  • NPI 1609229871
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1942305602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5515",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745515",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671158",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G59443",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME112041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G594430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Marshall Norris, D.O.
• Northside Imaging, LLC (Bayonet Point Imaging)
• Gannon John Novak
• Novel Health Care Associates LLC
• Novel Healthcare Solutions LLC
• Daniel C Nwaozuru
• Emmanuelle O'Lavin, PHARMD
• Robert Obenrader, PA
• Ocala Oncology Center PL (Florida Cancer Affiliates-Tampa Bay)
• Ocala Oncology Center PL (Florida Cancer Affiliates-Tampa Bay)

• Neurological Surgery Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.