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NPI Code Detail

MEDICARE: THOMAS PAWLOWSKI D.O.

MEDICARE: THOMAS PAWLOWSKI D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02001982AIN
2207P00000XEmergency Medicine Physician02001982AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285660399
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS PAWLOWSKI D.O.
Provider Business Mailing Address
First Line : 709 PENNOCK CIR
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-9156
Country : US
Telephone Number : 219-661-9511
Fax Number :
Provider Business Practice Location Address
First Line : 10855 VIRGINIA ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-0210
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 12/09/2025

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Directions to “ THOMAS PAWLOWSKI D.O.” Practice Location

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