WILLIAM K NOWOTNY (NPI# 1235170788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235170788 |
| Entity Type | Individual |
| Full Name | WILLIAM K NOWOTNY |
| Credential | D.O. |
| Practice Address |
6505 Market St Boardman OH 44512-3457 |
| Mailing Address |
184 Columbiana Rd New Castle PA 16102-2904 |
| Practice Telephone | 3307262100 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34007390 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE TRAVELERS RR-GA | P00194541 | 01 |
| OH | 2190203 | 05 | |
| OH | CARESOURCE | 942460636120 | 01 |
| Street Address |
6505 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301715 | David J Sansoterra | Pediatrics | 6505 Market St, Boardman, OH 44512-3457 | 2005-07-22 |
| 1629618269 | Jenna Hospodar | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2020-01-12 |
| 1649835166 | Anna Marie Stansbury | Registered Nurse | 6505 Market St, Boardman, OH 44512-3457 | 2019-05-09 |
| 1538668686 | Beeghly Nursing LLC | Skilled Nursing Facility | 6505 Market St, Boardman, OH 44512-3457 | 2018-02-05 |
| 1366968935 | Brooke Leigh Crawford | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-08-16 |
| 1689197717 | Mary Agnes Slavens | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-07-20 |
| 1518401025 | Elizabeth A Schmid | Social Worker | 6505 Market St, Boardman, OH 44512 | 2016-12-19 |
| 1336698513 | Kristen Ouellette | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2016-09-28 |
| 1427400753 | Carrie Lynn Zorman | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2016-07-11 |
| 1619340213 | Susan Diana Laird | Counselor | 6505 Market St, Boardman, OH 44512 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326276825 | Orlando P Cortez Jr. | Emergency Medicine | 7720 W Parkside Dr, Boardman, OH 44512-5321 | 2009-06-23 |
| 1255318507 | John F Maxfield | Emergency Medicine | 4315 Devonshire Dr, Boardman, OH 44512-1025 | 2005-12-28 |
| 1366428484 | George Ellis Jr. | Emergency Medicine | 910 Boardman-canfield Road, Boardman, OH 44512 | 2005-12-20 |
| 1144883950 | Kayla Prokopakis | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-17 |
| 1902369978 | Mark Timothy Lomasney | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-08 |
| 1043715600 | Darius Shams | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2018-03-27 |
| 1124476841 | Christina Brooke Walker | Emergency Medicine | 8423 Market St, Boardman, OH 44512-6778 | 2016-06-03 |
| 1366803926 | Richard Alan Urbanski | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2016-03-10 |
| 1699135624 | Christopher Lee Swyers | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2016-03-03 |
| 1891155230 | Merissa Ferguson | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2016-02-27 |
| Find all providers in BOARDMAN | ||||
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| 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.