EDMUND NOWICKI (NPI# 1902801897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902801897 |
| Entity Type | Individual |
| Full Name | EDMUND NOWICKI |
| Credential | MD |
| Practice Address |
196 Arrowhead Dr Ste 1 Evanston WY 82930-8752 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 8778929701 |
| Mailing Telephone | 6154657000 |
| Mailing Fax Number | 6153093338 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6193A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 113930400 | 05 | |
| WY | BCBS | 308483 | 01 |
| Street Address |
196 ARROWHEAD DR STE 1 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-8752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164413 | David Segarra | Internal Medicine | 196 Arrowhead Dr, Ste 2, Evanston, WY 82930-8752 | 2005-06-16 |
| 1457725988 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 196 Arrowhead Dr, Evanston, WY 82930-8752 | 2015-11-20 |
| 1902299787 | Kathy Bella | Nurse Practitioner | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 | 2015-03-18 |
| 1609119734 | Alan Robert Brown | Pediatrics | 196 Arrowhead Dr, Evanston, WY 82930-8752 | 2013-03-27 |
| 1821345604 | Ann Stoddard | Community Health Worker | 196 Arrowhead Dr, Ste 2, Evanston, WY 82930-8752 | 2012-08-10 |
| 1457614331 | Cal Lee Morrow | Family Medicine | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 | 2012-06-16 |
| 1619237625 | Tadge Kanjo General Surgery LLC | Surgery | 196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752 | 2012-05-23 |
| 1629342068 | Gale Mcguire | Licensed Practical Nurse | 196 Arrowhead Dr, Ste 6, Evanston, WY 82930-8752 | 2012-03-02 |
| 1437434354 | Carver Family Health, LLC | Nurse Practitioner | 196 Arrowhead Dr, Suite #4, Evanston, WY 82930-8752 | 2011-10-12 |
| 1063708592 | Bear River Urology, LLC | Urology | 196 Arrowhead Dr, Suite #4, Evanston, WY 82930-8752 | 2011-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689207722 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Stop 100, Evanston, WY 82930-9352 | 2020-02-18 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
| 1194094086 | Zulfikar Esmail | Family Medicine | 1616 Forest Pl, Evanston, IL 60201-4663 | 2011-12-21 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| 1821280256 | Humera Khan | Family Medicine | 800 Austin St Ste 505, Evanston, IL 60202-3439 | 2007-08-09 |
| 1902934532 | Michael Kevin Rakotz | Family Medicine | 1704 Maple Ave, Suite 200, Evanston, IL 60201-3134 | 2007-03-02 |
| 1497819692 | Geeta Maker-clark | Family Medicine | 909 Davis St Ste 200, Evanston, IL 60201-3664 | 2006-12-21 |
| 1982779047 | Elena Fitchev | Family Medicine | 800 Austin St Ste 502w, Evanston, IL 60202-3445 | 2006-11-22 |
| 1063528255 | Carl Elmer Hill | Family Medicine | 841 Dodge Ave, Evanston, IL 60202 | 2006-08-22 |
| Find all providers in EVANSTON | ||||
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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.