ANDY NOVAK (NPI# 1720231293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720231293 |
| Entity Type | Individual |
| Full Name | ANDY NOVAK |
| Credential | MLT |
| Practice Address |
230 E Main St Goldendale WA 98620-9015 |
| Practice Telephone | 5092502710 |
| Mailing Telephone | 5092502710 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
230 E MAIN ST |
| City | GOLDENDALE |
| State | WA |
| Zip Code | 98620-9015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158992 | Tawna L Barck | Physician Assistant | 310 S Roosevelt, Goldendale, WA 98620 | 2014-09-29 |
| 1629404496 | Brittany Pierce | Case Manager/Care Coordinator | 1500 S Columbus Ave, Goldendale, WA 98620 | 2013-09-24 |
| 1235176611 | Amy Tan | Surgery | 310 S Roosevelt St, Goldendale, WA 98620 | 2006-06-02 |
| 1558828467 | Public Hospital District 1 of Klickitat Co | Pharmacy | 310 S Roosevelt, Goldendale, WA 98620 | 2019-02-27 |
| 1316493786 | Justin Knight | Case Manager/Care Coordinator | 112 W Main St, Goldendale, WA 98620 | 2016-08-26 |
| 1932456878 | Shawna Fletcher | Pharmacist | 310 S Roosevelt Ave, Goldendale, WA 98620 | 2012-08-09 |
| 1184845901 | James Tuning | Counselor | 112 W. Main St., Goldendale, WA 98620 | 2007-05-01 |
| 1891916615 | Sunday Sutton | Counselor | 112 W. Main St., Goldendale, WA 98620 | 2007-05-01 |
| 1871714857 | Comprehensive Healthcare | Community/Behavioral Health | 112 W Main St, Goldendale, WA 98620 | 2007-05-01 |
| 1720207830 | Comprehensive Healthcare | Community/Behavioral Health | 112 W Main St, Goldendale, WA 98620 | 2007-04-25 |
| Find all providers in zip 98620 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033386248 | Leona Elaine Smythe | Technician, Pathology | 4115 S 280th St, Auburn, WA 98001-1312 | 2008-05-15 |
| City | GOLDENDALE |
| Zip Code | 98620 |
Please comment or provide details below to improve the information on ANDY NOVAK.
| 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.