PHILIP DANIEL NOWICKI (NPI# 1366608986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366608986 |
| Entity Type | Individual |
| Full Name | PHILIP DANIEL NOWICKI |
| Credential | MD |
| Practice Address |
35 Michigan St Ne Suite 4150 Grand Rapids MI 49503-2514 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162672600 |
| Practice Fax Number | 6162672601 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
4301093641 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0390297 | 01 |
| MI | 1366608986 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689669186 | Philip Theodore Nowicki | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-09-12 |
| Street Address |
35 MICHIGAN ST NE SUITE 4150 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1124650130 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2020-02-07 |
| 1326607029 | Julie Lynn Cusic | Social Worker | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2019-06-07 |
| 1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
| 1780195354 | Monica Mulder | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2029 | 2017-10-23 |
| 1790218980 | Katie Patterson | Technician/Technologist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2017-04-05 |
| 1316493604 | Sarah Kempton | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-08-28 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1710351614 | Jutta Strueber | Student in an Organized Health Care Education/Training Program | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2015-11-16 |
| 1740668607 | Samantha Rosen | Optometrist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024683 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 35 Michigan Ne, Grand Rapids, MI 49503 | 2011-08-04 |
| 1760792808 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 1425 Michigan St Ne, Grand Rapids, MI 49503-2027 | 2010-10-07 |
| 1962611277 | Lisa Dawn Maskill | Orthopaedic Surgery | 35 Michigan St Ne, Ste. 4150, Grand Rapids, MI 49503-2514 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689962342 | Christopher Minnock | Orthopaedic Surgery | 350 W Big Beaver Rd Dept Of, Troy, MI 48084-5246 | 2011-07-15 |
| 1285854315 | Lanny Leo Johnson | Orthopaedic Surgery | 4658 Chippewa Dr, Okemos, MI 48864-2060 | 2007-04-30 |
| 1215416961 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 802 W King St, Owosso, MI 48867-2100 | 2018-08-13 |
| 1578839338 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2012-03-27 |
| 1972880920 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9159 | 2011-11-04 |
| 1558661157 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2010-10-28 |
| 1477853075 | Spectrum Health Primary Care Partners | Orthopaedic Surgery | 550 Munson Ave, Traverse City, MI 49686-3580 | 2010-10-28 |
| 1720200140 | Orthopedic Specialists of Oakland County, P.C. | Orthopaedic Surgery | 44555 Woodward, Suite 105, Pontiac, MI 48348 | 2007-05-03 |
| 1982825139 | Wa Foote Memorial Hospital | Orthopaedic Surgery | 205 N East Ave, Jackson, MI 49201-1753 | 2007-05-02 |
| 1053538868 | Justin Joseph Hollander | Orthopaedic Surgery | 5246 N Royal Dr, Traverse City, MI 49684-6984 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.