DR. MICHAEL L NOWAK (NPI# 1558360131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558360131 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L NOWAK |
| Credential | D.O. |
| Practice Address |
350 W Country Club Rd Ste# 203 Roswell NM 88201-5205 |
| Practice Telephone | 5756244646 |
| Practice Fax Number | 5756258498 |
| Mailing Telephone | 5756244646 |
| Mailing Fax Number | 5756258498 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A-1602-11 | NM | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 2619 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS | 000000007795 | 01 |
| OH | CARESOURCE | 310884319026 | 01 |
| NM | 40004279 | 05 | |
| NM | BCBS OF NM | NPI & TIN# | 01 |
| OH | AETNA | 4341671 | 01 |
| OH | RAILROAD MEDICARE PALMETT | 160029113 | 01 |
| OH | 0457349 | 05 | |
| OH | CIGNA | 2380630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991359 | Michael J Nowak | Physician Assistant | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2005-06-13 |
| 1801382494 | Michael Bastien Nowak | Registered Nurse | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-07-06 |
| 1972845048 | Michael David Nowak | Pathology | 1425 Madison Ave Rm L9-52b, New York, NY 10029 | 2013-03-26 |
| 1417269853 | Michael Nowak | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2010-07-13 |
| 1255448940 | Michael Mark Nowak | Surgery | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-08-25 |
| 1972570323 | Michael Anthony Nowak | Pathology | 4477 Medical Center Way, Suite B, West Palm Beach, FL 33407-3286 | 2006-03-03 |
| Street Address |
350 W COUNTRY CLUB RD STE# 203 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245656479 | Jessie Marie Surla | Nurse Practitioner | 350 W Country Club Rd, Suite# 105, Roswell, NM 88201-5205 | 2014-03-12 |
| 1700215225 | Robin Kenning | Nurse Practitioner | 350 W Country Club Rd, Suite #220, Roswell, NM 88201-5205 | 2013-11-05 |
| 1396958633 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 | 2007-05-07 |
| 1043423379 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 201, Roswell, NM 88201-5205 | 2007-05-07 |
| 1356553002 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 | 2007-05-04 |
| 1821211988 | Gustavo Velasquez | Family Medicine | 350 W Country Club Rd, Suite 101, Roswell, NM 88201-5205 | 2007-04-10 |
| 1508999780 | Jennifer Alice Corrie | Obstetrics & Gynecology | 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 | 2007-03-14 |
| 1295828218 | Eastern Plains Medical Group, P.C. | Specialist | 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 | 2006-10-02 |
| 1831109156 | Jane Elizabeth Mcmillan | Obstetrics & Gynecology | 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 | 2006-08-09 |
| 1841272515 | Scott Walter Snyder | Anesthesiology | 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 | 2005-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144508896 | Wellness for The Ageless Woman, Inc | Obstetrics & Gynecology | 4168 Loch Highland Pkwy Ne, Roswell, GA 30075-2026 | 2011-07-29 |
| 1366655151 | Melody T. Mccloud | Obstetrics & Gynecology | Po Box 344, Roswell, GA 30077-0344 | 2007-05-08 |
| 1023137452 | Assertive Ob-gyn, LLC | Obstetrics & Gynecology | 936 Holcomb Bridge Rd, Suite # 2, Roswell, GA 30076-1909 | 2007-03-28 |
| 1700944162 | Garry Earl Siegel | Obstetrics & Gynecology | 10210 Windalier Way, Roswell, GA 30076-2414 | 2006-12-05 |
| 1154491165 | Susan Wheatley | Obstetrics & Gynecology | 1250 Upper Hembree Rd., Suite B, Roswell, GA 30076 | 2006-11-08 |
| 1295828978 | Hughan R.h Frederick | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2006-10-02 |
| 1821049727 | John B Dacanay | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-15 |
| 1508359225 | Allison Bess Perry | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2018-06-07 |
| 1346620960 | Urania Davis | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2015-06-09 |
| 1053725408 | Linda Chacko Kuzhippala | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076 | 2014-06-13 |
| Find all providers in ROSWELL | ||||
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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.