| William K Nowotny, DO | |
| 6505 Market St, Boardman, OH 44512-3457 | |
| (330) 726-2100 | |
| Not Available | 
| Full Name | William K Nowotny | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 6505 Market St, Boardman, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235170788 | NPI | - | NPPES | 
| P00194541 | Other | OH | MEDICARE TRAVELERS RR-GA | 
| 2190203 | Medicaid | OH | |
| 942460636120 | Other | OH | CARESOURCE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34007390 (Ohio) | Primary | 
| Entity Name | Emergency Professional Services, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 | 
| Mailing Address | Practice Location Address | 
|---|---|
| William K Nowotny, DO 184 Columbiana Rd, New Castle, PA 16102-2904 Ph: () - | William K Nowotny, DO 6505 Market St, Boardman, OH 44512-3457 Ph: (330) 726-2100 | 
| Christina Brooke Walker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Boardman, OH 44512 Phone: 330-729-8757 Fax: 330-729-7616 | |
| Aziz R Nuritdinov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-7960 | |
| Dr. Alexander William Maione, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
| Allyson Dryer,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
| Craig Mcdonough, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-8757 | |
| Norhan Sharaf, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 954-260-2929 |