William K Nowotny, DO | |
6505 Market St, Boardman, OH 44512-3457 | |
(330) 726-2100 | |
Not Available |
Full Name | William K Nowotny |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 6505 Market St, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235170788 | NPI | - | NPPES |
P00194541 | Other | OH | MEDICARE TRAVELERS RR-GA |
2190203 | Medicaid | OH | |
942460636120 | Other | OH | CARESOURCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34007390 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
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William K Nowotny, DO 184 Columbiana Rd, New Castle, PA 16102-2904 Ph: () - | William K Nowotny, DO 6505 Market St, Boardman, OH 44512-3457 Ph: (330) 726-2100 |
Christina Brooke Walker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Boardman, OH 44512 Phone: 330-729-8757 Fax: 330-729-7616 | |
Dr. Alexander William Maione, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
Allyson Dryer, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
Craig Mcdonough, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-8757 | |
Norhan Sharaf, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 954-260-2929 | |
Dr. Katherine Mitry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 |