MS. JUSTYNA E POMIOTLO (NPI# 1629475546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629475546 |
| Entity Type | Individual |
| Full Name | MS. JUSTYNA E POMIOTLO |
| Credential | N.P. |
| Practice Address |
4500 W 181st Ave Lowell IN 46356-0017 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2196902016 |
| Practice Fax Number | 2196901862 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 28168329A | IN | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005312A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4500 W 181ST AVE |
| City | LOWELL |
| State | IN |
| Zip Code | 46356-0017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134618333 | Heartland Behavioral Health Inc | Psychologist | 2068 Lucas Pkwy Ste 3, Lowell, IN 46356 | 2018-05-03 |
| 1902310956 | Rhonda Sue Courtright | Social Worker | 2068 Lucas Parkway, Lowell, IN 46356 | 2017-11-29 |
| 1508140120 | Kelley Campbell | Pharmacist | 1704 E. Commercial Ave, Lowell, IN 46356 | 2011-09-30 |
| 1235298514 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 710 Michigan Ave, Lowell, IN 46356 | 2006-12-06 |
| 1285708115 | Nicholas Kouri | Dentist | 308 E Commercial Ave, Lowell, IN 46356 | 2006-11-20 |
| 1770537045 | Casey H Walker | Chiropractor | 2072 E Commercial Ave Ste B, Lowell, IN 46356 | 2006-05-20 |
| 1336452655 | Jennifer Lynn Johnson | Optometrist | 117 Deanna Dr, Lowell, IN 46356 | 2010-07-15 |
| 1467427658 | Denise Vanhorssen | Social Worker | 2068 Lucas Pkwy, Lowell, IN 46356 | 2006-02-21 |
| 1952726663 | Hancock Regional Hospital | Skilled Nursing Facility | 18275 S Burr St, Lowell, IN 46356-0020 | 2014-03-04 |
| 1104166818 | Gordana Gorgijovski | Physical Therapy Assistant | 17203 Oak Valley Dr, Lowell, IN 46356-1199 | 2013-02-18 |
| Find all providers in zip 46356 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187207 | Laura Jeannine Neal | Nurse Practitioner | 11399 Kelly Ln, Lowell, AR 72745-8643 | 2020-09-01 |
| 1578184693 | Desiree Lynn Hilborn | Nurse Practitioner | 638 Creekside Dr Apt 208, Lowell, IN 46356-7911 | 2020-04-29 |
| 1730741158 | Kenna Lea Wagner | Nurse Practitioner | 60 Lock St, Lowell, OH 45744-9023 | 2019-07-05 |
| 1184280091 | Joyce Gichana | Nurse Practitioner | 1001 Westford St Apt 14, Lowell, MA 01851-2741 | 2019-05-15 |
| 1760956536 | Melanie Burgess Dumont | Nurse Practitioner | 71 Jackson St Unit 313, Lowell, MA 01852-2178 | 2019-01-15 |
| 1992277214 | Jody Huck | Nurse Practitioner | 4010 Rainbow Rd, Lowell, OH 45744-7176 | 2018-12-27 |
| 1477077295 | Melissa Rose Stewart | Nurse Practitioner | 15896 Cow Face Rd, Lowell, AR 72745-9158 | 2017-08-02 |
| 1174071286 | Ruth Walsworth | Nurse Practitioner | 595 Pawtucket Blvd Ste 2, Lowell, MA 01854-2042 | 2016-09-18 |
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| Find all providers in LOWELL | ||||
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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.