MICHAEL JAMES NOWICKI (NPI# 1649215526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649215526 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES NOWICKI |
| Credential | M.D. |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6019845232 |
| Mailing Telephone | 6019845232 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
16137 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120013 | 05 | |
| LA | 1545911 | 05 |
| 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 |
| 1396186938 | Michael Nowicki | Surgery | 1001 E 2nd St, Coudersport, PA 16915 | 2013-07-11 |
| 1508013434 | Michael Thomas Nowicki | Pharmacist | 4150 Clement St, Pharmacy Service (119), San Francisco, CA 94121-1545 | 2008-08-21 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871896571 | Anshu Maheshwari | Pediatrics | 2500n State St, Jackson, MS 39216-4500 | 2010-12-19 |
| 1861832214 | Natalie Bhesania | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2013-06-30 |
| 1093868853 | Upa Pllc Gastroenterology | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1174567465 | Phyllis R Bishop | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
| 1922043959 | Paul Harmon Parker Jr. | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053486860 | April Lee Ulmer | Pediatrics | 401 Cowan Rd Ste B, Gulfport, MS 39507-2022 | 2006-11-21 |
| 1346779824 | Kids and Tummies LLC | Pediatrics | 401 Cowan Rd Ste B, Gulfport, MS 39507-2022 | 2017-06-08 |
| 1285952465 | Mary Allyson Lowry | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2010-05-12 |
| 1346403466 | Sara W. Rippel | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2008-07-09 |
| 1902098288 | Gastrointestinal Associates, P.a. | Pediatrics | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1144412438 | Gastrointestinal Associates, P.a. | Pediatrics | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2007-08-10 |
| 1407067739 | Angela B. Shannon | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2007-05-25 |
| 1093765604 | Gastrointestinal Associates, P.a. | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2006-05-12 |
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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.