JACOB JOHN NOVAK (NPI# 1043336381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043336381 |
| Entity Type | Individual |
| Full Name | JACOB JOHN NOVAK |
| Credential | MD |
| Practice Address |
2628 Long Prairie Rd Suite 107 Flower Mound TX 75022-4839 |
| Mailing Address |
Po Box 961214 Fort Worth TX 76161-0214 |
| Practice Telephone | 9728996666 |
| Practice Fax Number | 9728996665 |
| Mailing Telephone | 9728996666 |
| Mailing Fax Number | 9728996665 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
K2766 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | K2766 | 01 |
| Street Address |
2628 LONG PRAIRIE RD SUITE 107 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75022-4839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275568917 | Edward Tang | Chiropractor | 2628 Long Prairie Rd, Suite 105, Flower Mound, TX 75022-4839 | 2006-07-11 |
| 1639591431 | Mayfield Wellness, Pllc | Chiropractor | 2628 Long Prairie Rd, Suite 105, Flower Mound, TX 75022-4839 | 2014-01-13 |
| 1871833749 | Dixie L. Mayfield | Chiropractor | 2628 Long Prairie Rd, Suite 105, Flower Mound, TX 75022-4839 | 2013-02-28 |
| 1114250792 | Nlc Rehab and Wellness Inc | Chiropractor | 2628 Long Prairie Rd, #105, Flower Mound, TX 75022-4839 | 2009-09-14 |
| 1023201985 | Tiffany Mccoy Moore | Chiropractor | 2628 Long Prairie Rd, Suite 105, Flower Mound, TX 75022-4839 | 2007-08-23 |
| 1316161052 | Flower Mound Emergency Care Center | Clinic/Center | 2628 Long Prairie Rd, Suite 107, Flower Mound, TX 75022-4839 | 2007-04-12 |
| 1811019912 | James Michael Muzzarelli | Emergency Medicine | 2628 Long Prairie Rd, Flower Mound, TX 75022-4839 | 2007-04-06 |
| 1205933231 | New Life Chiropractic | Chiropractor | 2628 Long Prairie Rd, Suite 105, Flower Mound, TX 75022-4839 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356622 | Ann Ball | Nurse Practitioner | 2405 Bayshore Drive, Flower Mound, TX 75022 | 2020-08-11 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1194344812 | Today Dental of Flower Mound Pllc | Dentist | 2840 Flower Mound Rd, Suite 120, Flower Mound, TX 75022 | 2020-04-13 |
| 1801398375 | Lumincare Physician Group, Pa | Family Medicine | 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 | 2018-03-01 |
| 1861948572 | Icarepros, LLC | Home Health | 4508 Cassandra Drive, Flower Mound, TX 75022 | 2016-09-01 |
| 1912378837 | Tmj & Sleep Therapy Centre of North Texas, LLC | Dentist | 1005 Long Prairie Road, Suite 100, Flower Mound, TX 75022 | 2015-10-19 |
| 1689056863 | Twila Michelle Farrar | Counselor | 1033 Long Prairie Road, Suite 4, Flower Mound, TX 75022 | 2015-06-24 |
| 1992186597 | Kelly Fuller Lewis | Pediatrics | 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 | 2015-06-09 |
| 1679989313 | Uap Keller Endo, LLC | Nurse Anesthetist, Certified Registered | 1001 Surrey Lane, Flower Mound, TX 75022 | 2014-07-02 |
| 1013269273 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 4301 Cross Timbers Rd., Flowermound, TX 75022 | 2012-10-11 |
| Find all providers in zip 75022 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776208 | Atj Community Services | Emergency Medicine | 3636 Creek View Cir, Dallas, TX 75233-1704 | 2020-09-28 |
| 1053925636 | Code 4 Emergency Services LLC | Emergency Medicine | 1901 E 51st St, Austin, TX 78723-3040 | 2020-09-01 |
| 1912510710 | Post Oak Physician Group, Pllc | Emergency Medicine | 3101 Golfcrest Blvd, Houston, TX 77087-2405 | 2020-08-31 |
| 1063039790 | Victory Ambulance Care LLC | Emergency Medicine | 210b N 5th St, Carrizo Springs, TX 78834-3104 | 2020-06-29 |
| 1225652779 | Rgv Urgent Care Clinic Mcallen LLC | Emergency Medicine | 2812 W Nolana Ave Ste 210, Mcallen, TX 78504-4190 | 2020-06-01 |
| 1760022776 | Kyle Ip, Pllc | Emergency Medicine | 5615 Kyle Center Dr, Kyle, TX 78640-6553 | 2020-01-08 |
| 1659832160 | Red River Ep Pllc | Emergency Medicine | 2022 N Us Highway 75, Sherman, TX 75090-2802 | 2019-03-27 |
| 1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
| 1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
| 1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75022 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.