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PHILIP DANIEL NOWICKI MD NPI 1366608986


NPI Information

NPI: 1366608986
Provider Name: PHILIP DANIEL NOWICKI, MD
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Individual

Specialization: Pediatric Orthopaedic Surgery

PECOS Registration: Yes

Address:
35 MICHIGAN ST NE
SUITE 4150
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-2600
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Philip Daniel Nowicki, MD is a pediatric orthopaedic surgery orthopaedic surgery in Grand Rapids, MI with 20 years of experience. The provider is 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. Philip Daniel Nowicki, MD NPI is 1366608986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

35 MICHIGAN ST NE
SUITE 4150
GRAND RAPIDS, MI
ZIP 49503-514
Phone: (616) 267-2600
Fax: (616) 267-2601

The NPI 1366608986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 2/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery4301093641MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10390297OTHERMICHIGANBCBS
21366608986MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.