MICHAEL NOWICKI (NPI# 1396186938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396186938 |
| Entity Type | Individual |
| Full Name | MICHAEL NOWICKI |
| Credential | M.D. |
| Practice Address |
1001 E 2nd St Coudersport PA 16915 |
| Mailing Address |
1001 E 2nd St Coudersport PA 16915-8161 |
| Practice Telephone | 8142747474 |
| Mailing Telephone | 8142747474 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD465779 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 64 Robbins St, Waterbury, CT 067082613 | 2035735257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821191016 | Michael J. Nowicki | Counselor | 31 Harvard St, Worcester, MA 01609-2836 | 2006-09-06 |
| 1912558750 | Michael Nowicki | Counselor | 32 Hamilton Ave, Milford, MA 01757-1748 | 2019-09-23 |
| 1508013434 | Michael Thomas Nowicki | Pharmacist | 4150 Clement St, Pharmacy Service (119), San Francisco, CA 94121-1545 | 2008-08-21 |
| 1649215526 | Michael James Nowicki | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-17 |
| Street Address |
1001 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868736 | Kathleen M Kerr | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2005-08-16 |
| 1205498458 | Nina Lelic Miller | Dentist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-07-08 |
| 1831754308 | Garrett Michael Russell | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-05-09 |
| 1740742279 | Joshua Hoppe | Physical Therapist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-04-03 |
| 1396202743 | Jackie D Sprow | Nurse Practitioner | 1001 E 2nd St, Coudersport, PA 16915-8179 | 2019-02-21 |
| 1821505983 | Kristine N Ball | Advanced Practice Midwife | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2018-01-10 |
| 1245743103 | Patricia K Stegman | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2017-11-14 |
| 1033562707 | Jennifer Davis | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1497108161 | Gena Rasmussen | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
| 1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
| 1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| Find all providers in zip 16915 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182511 | Charles Cole Memorial Hospital | Surgery | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1114245107 | Dorothy Ann Sparks | Surgery | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2010-05-14 |
| 1134303233 | Ccmh Surgical Specialists | Surgery | 1001 East Second Street, Coudersport, PA 16915 | 2007-12-26 |
| 1336253293 | Frank W Horn | Surgery | 1001 East Second Street, Coudersport, PA 16915-9762 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | COUDERSPORT |
| Zip Code | 16915 |
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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.