ANDREW SCOTT NOVACK (NPI# 1144617408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144617408 |
| Entity Type | Individual |
| Full Name | ANDREW SCOTT NOVACK |
| Credential | M.D. |
| Practice Address |
2405 S Clear Creek Rd Killeen TX 76549-5775 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2546181888 |
| Practice Fax Number | 2545195264 |
| Mailing Telephone | 8009940371 |
| Mailing Fax Number | 2542159722 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
S1199 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2405 S CLEAR CREEK RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-5775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966274 | Sandy M Bidner | Orthopaedic Surgery | 2405 S Clear Creek Rd, Suite 290, Killeen, TX 76549-5775 | 2005-07-15 |
| 1538631403 | Veronica Reyes | Nurse Practitioner | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2018-12-17 |
| 1023467693 | Mackenzie Leigh Wilson Malek | Obstetrics & Gynecology | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2016-06-06 |
| 1104290154 | Deborah Jebakumar | Pathology | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2015-11-13 |
| 1902278336 | Scott & White Clinic | Audiologist-Hearing Aid Fitter | 2405 S Clear Creek Rd, Suite 350 3rd Floor, Room 3.177, Killeen, TX 76549 | 2015-10-26 |
| 1831567874 | Christine Ray | Physician Assistant | 2405 S Clear Creek Rd, Suite 290, Killeen, TX 76549-5775 | 2015-09-08 |
| 1780062406 | Sasha Melissa Morales - Otero | Registered Nurse | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2015-05-14 |
| 1669877106 | Tiffany Lauren Brown | Nurse Practitioner | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2014-10-27 |
| 1760809073 | Rohan Mehta | Internal Medicine | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2014-03-25 |
| 1720426364 | Cassandra Taylor | Registered Nurse | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2013-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1689800419 | Integrated Pain Associates Pa | Anesthesiology | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
| 1699375576 | Prwcswtx LLC | Anesthesiology | 700 Paredes Ave Ste 107, Brownsville, TX 78521-2169 | 2020-10-29 |
| 1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
| 1669081915 | Laila Pm&a Group Inc | Anesthesiology | 1803 Longwood Ct, Allen, TX 75013-3074 | 2020-07-23 |
| 1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
| 1104451079 | Daniel Dalton Dubose, Md, Pa | Anesthesiology | 201 Crown Pointe Blvd Ste 200, Willow Park, TX 76087-1304 | 2020-03-11 |
| 1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
| 1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
| 1518501030 | Institute of Precision Pain Medicine, Pllc | Anesthesiology | 13725 Northwest Blvd Ste 120a, Corpus Christi, TX 78410-3743 | 2019-10-29 |
| 1629628672 | Yancey Pain & Spine, Lllp | Anesthesiology | 9200 Pinecroft Dr Ste 330, Shenandoah, TX 77380-3279 | 2019-09-11 |
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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.