Individual
WILLIAM K NOWOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 726-2100
Mailing address
184 COLUMBIANA RD, NEW CASTLE, PA 16102-2904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34007390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2190203
—
OH
01
—
942460636120
CARESOURCE
OH
01
—
P00194541
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/08/2006
Last updated
01/28/2026
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