# IRWIN FAMILY CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Irwin Family Care, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427096577
- **Authorized official:** DR. JAWDAT A NIKOULA MD (MD/ OWNER)
- **Authorized official phone:** (724) 864-9595

## Contact information

- **Practice address:** 905 SPRUCE ST STE 201, IRWIN, PA 15642-3683
- **Practice address phone:** (724) 864-9595
- **Practice address fax:** (724) 864-9860
- **Mailing address:** 905 SPRUCE ST, IRWIN, PA 15642-3683
- **Mailing address phone:** (724) 864-9595
- **Mailing address fax:** (724) 864-9860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 02/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0012633100002 | — | PA |