NOVACEL (NPI# 1790243111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790243111 |
| Entity Type | Organization |
| Organization Name | NOVACEL |
| Other Organization Name | NOVACEL |
| Practice Address |
4624 S Holladay Blvd Ste 201 Salt Lake City UT 84117-7168 |
| Practice Telephone | 0182663113 |
| Practice Fax Number | 8012665633 |
| Mailing Telephone | 8014388280 |
| Mailing Fax Number | 8014388747 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | MARIANA ANDERSON-OMINSKI (BILLING DIRECTOR) |
| Authorized Official Telephone | 8018881140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NPI | 1790243111 | 01 |
| Other Name | Type Code |
|---|---|
| Novacel | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVACEL | 27 Rue Du Docteur Emile Bataille, DÉville-LÈs-Rouen, NORMANDIE 76250, FRA |
| New York State Corporations | NOVACEL PROPERTIES, L.L.C. | 6225 Broadway, Ste A4, Bronx, New York 10471 |
| New York State Corporations | NOVACELL, LLC | 155 Water Street #237, Brooklyn, New York 11211 |
| Massachusetts Corporations | NOVACELLTEK LLC | 4 Great Rock Road, Lexington, MA 02421 |
| Street Address |
4624 S HOLLADAY BLVD STE 201 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-7168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700035847 | Jamie Crews | Occupational Therapist | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117-7168 | 2008-09-12 |
| 1407477474 | Marci Baak Pllc | Nurse Practitioner | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117-7168 | 2020-05-01 |
| 1235526682 | Taylor G Wright P.C. | Podiatrist | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1972875524 | Utah Podiatry Group PC | Podiatrist | 2159 S 700 E Ste 150, Salt Lake City, UT 84106 | 2012-01-29 |
| 1891082830 | Selina Sekulic | Podiatrist | 348 E 4500 S Ste 370, Salt Lake City, UT 84107-3906 | 2011-06-28 |
| 1841586096 | Brian B Liljenquist | Podiatrist | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124 | 2011-06-27 |
| 1659683381 | Christiaan Horst Goebel | Podiatrist | 4578 S Highland Dr, Suite 380, Salt Lake City, UT 84117-4243 | 2010-07-10 |
| 1639306889 | Daniel L Preece | Podiatrist | 430 N 400 W, Salt Lake City, UT 84103-1229 | 2009-06-15 |
| 1962513820 | Jason Ross Bowen | Podiatrist | 3710 Twinbrook St, Salt Lake City, UT 84109-3714 | 2006-08-31 |
| 1760499180 | Paul Norman Daniels | Podiatrist | 1449 E 3300 S, Salt Lake City, UT 84106-3308 | 2006-08-01 |
| 1710955745 | Flegal Foot & Ankle Clinic, LLC | Podiatrist | 740 E 3900 S, Suite 108, Salt Lake City, UT 84107-2525 | 2006-03-08 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
Please comment or provide details below to improve the information on NOVACEL.
| 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.