WILLIAM J NOWACK (NPI# 1003916651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003916651 |
| Entity Type | Individual |
| Full Name | WILLIAM J NOWACK |
| Credential | M.D. |
| Practice Address |
12417 Howe Dr Leawood KS 66209 |
| Mailing Address |
3 Maryland Farms Ste 200 Brentwood TN 37027-5780 |
| Practice Telephone | 9134981272 |
| Mailing Telephone | 8003484565 |
| Mailing Fax Number | 6153455405 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-29238 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100398080A | 05 | |
| MO | BCBS KANSAS CITY | 29664013 | 01 |
| KS | FIRSTGUARD | 411340 | 01 |
| RAILROAD MEDICARE | 130023644 | 01 | |
| MO | 205367808 | 05 |
| Street Address |
12417 HOWE DR |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903586 | Heather S Anderson | Psychiatry & Neurology | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184321 | Midwest Neurology Consultants, LLC | Psychiatry & Neurology | 5715 N Streckfus Trl, Salina, KS 67401-1769 | 2020-05-04 |
| 1386056083 | Douglas Ray Davis | Psychiatry & Neurology | 501 S Santa Fe, Suite 300, Neurology Department, Salina, KS 67401 | 2014-05-29 |
| 1124446406 | Amanda Jean Thuringer | Psychiatry & Neurology | Kansas University Medical Center Department, 3599 Rainbow Blvd., Mailstop 2012, Kansas City, KS 66160-0001 | 2014-04-02 |
| 1437411725 | Phaedra M. Dowell | Psychiatry & Neurology | 12140 Nall Ave Ste 230, Overland Park, KS 66209-2507 | 2012-06-12 |
| 1235413196 | Harsh Vardhan Gupta | Psychiatry & Neurology | 10777 Nall Ave Ste 200, Overland Park, KS 66211-1357 | 2011-10-10 |
| 1659688646 | Rawan Albadareen | Psychiatry & Neurology | 3901 Rainbow Blvd # 1033, Kumc, Kansas City, KS 66160-2741 | 2010-09-12 |
| 1780998658 | Rajesh Kumar Sadasivuni | Psychiatry & Neurology | 3243 E Murdock St Ste 104, Wichita, KS 67208-3018 | 2010-08-03 |
| 1689791196 | Michael George Abraham | Psychiatry & Neurology | 3901 Rainbow Blvd Dpt of Neurology, Kansas City, KS 66160 | 2007-03-22 |
| 1982707071 | Sathyashankar Subbanna | Psychiatry & Neurology | 1133 College Ave Bldg B, #224, Manhattan, KS 66502-2770 | 2006-09-06 |
| 1932144573 | Mazen M Dimachkie | Psychiatry & Neurology | 3599 Rainbow Blvd # Ms 2012, Kansas City, KS 66103-2078 | 2006-06-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WILLIAM J NOWACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.