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Physician Compare National (NPI:1912047176)

HEALTHCARE PROVIDER: JOHN MICHAEL NOWINS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1912047176
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8820251572
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120517000118
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NOWINS
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name MICHAEL
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 3380 S EASTERN AVE
Group Practice or individual's line 1 address
City LAS VEGAS
Group Practice or individual's city
State NV
Group Practice or individual's state
Zip Code 891693313
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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