JOHN NOVAK (NPI# 1306807292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306807292 |
| Entity Type | Individual |
| Full Name | JOHN NOVAK |
| Credential | PA |
| Practice Address |
1224 Trotwood Ave Columbia TN 38401-4802 |
| Mailing Address |
3420 Hardway Ln Spring Hill TN 37174-5123 |
| Practice Telephone | 9313591234 |
| Mailing Telephone | 4403501519 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1906 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 50000610 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891907663 | John Joseph Novak | Dentist | 67 Green Street, Woodbridge, NJ 07095 | 2007-05-04 |
| 1891868543 | John J Novak | Optometrist | 36840 Detroit Rd, Avon, OH 44011-1570 | 2006-11-17 |
| 1457836785 | John D Novak | Physical Therapist | 269 Liberty Rd, Crystal Lake, IL 60014-8032 | 2018-10-02 |
| 1215198593 | John Stanley Novak | Physician Assistant | 1700 S Potomac St, Aurora, CO 80012-5405 | 2008-06-19 |
| 1619195880 | John Christopher Novak | Psychiatry & Neurology | 285 E State St, Ste 430, Columbus, OH 43215-4354 | 2007-04-23 |
| 1063508794 | John Novak | Dentist | 475 E Waterloo Rd, Akron, OH 44319-1240 | 2006-10-04 |
| 1477666527 | John Francis Novak | Chiropractor | 2410 Sampson St, Bldg 237, Great Lakes, IL 60088-2942 | 2006-08-15 |
| 1609898964 | John S Novak | Internal Medicine | 121 Legion Dr, Cobleskill, NY 12043-5111 | 2006-07-24 |
| 1699750455 | John Steven Novak | Pharmacist | 4205 Belfort Rd, Suite 1003, Jacksonville, FL 32216-1471 | 2005-12-14 |
| Street Address |
1224 TROTWOOD AVE |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949191 | James Blair Butler | Radiology | 1224 Trotwood Ave, Southern Radiology Associates, Pllc, Columbia, TN 38401 | 2005-08-11 |
| 1063034791 | Kristen Nichole Miller | Physical Therapist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-05-15 |
| 1487276358 | Jessie Marie Hipple | Pharmacist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-05-13 |
| 1427684703 | Emily Robinson Mckamey | Registered Nurse | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-03-18 |
| 1013542711 | Robert Allen | Physical Therapist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2020-03-03 |
| 1508408089 | Kacey Danette Rice | Registered Nurse | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2019-10-16 |
| 1144862400 | Trisha Marie Van Wyk | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401 | 2019-10-08 |
| 1518522309 | Courtney Brooke Hollis | Nurse Practitioner | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2019-05-07 |
| 1871070839 | Leah Shrader | Dietitian, Registered | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2018-07-23 |
| 1932695772 | Hannah Elizabeth Boren | Pharmacist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| 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 |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.