ANDREW NOVAK (NPI# 1124564000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124564000 |
| Entity Type | Individual |
| Full Name | ANDREW NOVAK |
| Credential | PA |
| Practice Address |
800 West Ave S La Crosse WI 54601 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 0878509406 |
| Mailing Telephone | 7158383635 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4332 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 6442 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033548946 | Andrew Novak | Counselor | 2002 Mitchell Dr, Eureka, IL 61530-1631 | 2013-11-01 |
| 1073052379 | Andrew Novak | Rehabilitation Practitioner | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2017-02-20 |
| 1710434527 | Andrew Novak | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-09-09 |
| Street Address |
800 WEST AVE S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323467 | Evan R Nelson | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-06-01 |
| 1366002479 | Caitlin Rae Carpenter | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2019-06-20 |
| 1619448412 | Jenna Bauer | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-12-06 |
| 1871077198 | Grant Morgan | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-09-21 |
| 1477034411 | Navid Khezri | Neurological Surgery | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-08-28 |
| 1609356468 | Alexander Ehlert | Physical Therapist | 800 West Ave S, La Crosse, WI 54601 | 2018-08-20 |
| 1316426091 | Jenifer Bantle-felt | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601 | 2018-08-13 |
| 1366949026 | Teresa Ann Mallett | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-04-10 |
| 1881199545 | Emily French | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-03-26 |
| 1073035598 | Mariah Hall | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558947 | Allison Lee Colsch | Physician Assistant | 2635 Hemstock St, La Crosse, WI 54603-2350 | 2020-01-30 |
| 1376517961 | Valerie Lynn Hoermann | Physician Assistant | 328 Front St S, La Crosse, WI 54601-4023 | 2006-02-13 |
| 1124024427 | Carol A. Kratz | Physician Assistant | 700 West Avenue S., La Crosse, WI 54601-4783 | 2005-06-22 |
| 1811511355 | Brittany Cincoski | Physician Assistant | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-06-01 |
| 1316575061 | Matthew Richard Zamzow | Physician Assistant | 1725 State St, La Crosse, WI 54601-3742 | 2020-03-30 |
| 1528694221 | Taylor Anne Gibson | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-03-14 |
| 1992330591 | Mary Stone | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-03-04 |
| 1366002479 | Caitlin Rae Carpenter | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2019-06-20 |
| 1104384015 | Jennifer Anne Guinn | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-03-10 |
| 1215407986 | Helen M Robison | Physician Assistant | 328 Front St S, La Crosse, WI 54601-4023 | 2018-11-26 |
| Find all providers in LA CROSSE | ||||
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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.