SUSAN G NOVAK


Address: 405 Fairgrounds Rd, Tipton, IN 46072-9596
Phone: 7654080536

SUSAN G NOVAK (NPI# 1841501590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841501590
Entity Type Individual
Full Name SUSAN G NOVAK
Credential MSN, APRN
Practice Address 405 Fairgrounds Rd
Tipton
IN 46072-9596
Mailing Address 800 Fulton St
Logansport
IN 46947-1577
Practice Telephone 7654080536
Practice Fax Number 7654080539
Mailing Telephone 5742052600
Mailing Fax Number 5747391414
Enumeration Date 2010-06-28
Last Update Date 2016-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
70000097A IN Physician Assistants & Advanced Practice Nursing Providers
N 364S00000X Clinical Nurse Specialist 70000097A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN NOVAK

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1134557077 Susan Novak Social Worker 2303 Ardendale Ave, Akron, OH 44312-1301 2013-10-30
1013416858 Susan Novak Counselor 26113 Oak Ridge Dr Ste A, The Woodlands, TX 77380-3493 2018-02-07
1093084162 Susan Joy Novak Psychologist 23832 Rockfield Blvd, Ste 130, Lake Forest, CA 92630-2860 2011-12-20
1699951848 Susan Diane Novak Counselor 500 E Chestnut Ave, Altoona, PA 16601-5215 2008-01-18
1326262924 Susan Jean Novak Registered Nurse 200 Boces Dr, Yorktown Heights, NY 10598-4321 2007-04-13
1720075021 Susan P Novak Obstetrics & Gynecology 502 Madison Oak Dr, Suite 440, San Antonio, TX 78258-4084 2005-10-02

Office Location

Street Address 405 FAIRGROUNDS RD
City TIPTON
State IN
Zip Code 46072-9596

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912086638 Janette R Link Social Worker 405 Fairgrounds Rd, Tipton, IN 46072-9596 2006-11-03
1780223255 Christine Marie Bixler Counselor 405 Fairgrounds Rd, Tipton, IN 46072-9596 2020-01-02
1336630441 Elaine Elizabeth Davis Counselor 405 Fairgrounds Rd, Tipton, IN 46072-9596 2018-05-24
1013468735 Justin Griswold Counselor 405 Fairgrounds Rd, Tipton, IN 46072-9596 2016-10-18
1063813178 Deborah Davidson Nurse Practitioner 405 Fairgrounds Rd, Tipton, IN 46072-9596 2014-09-08
1164587242 Catherine Herod Psychiatry & Neurology 405 Fairgrounds Rd, Tipton, IN 46072-9596 2006-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235522863 Christopher Anderson Specialist/Technologist 5580 St Rd 28, Tipton, IN 46072 2015-03-06
1205189347 Christopher Tyler Smith Physical Therapist 1010 S Main St Ste 100, Tipton, IN 46072 2012-10-25
1750595765 Indiana Health Centers, Inc. Public Health or Welfare Tipton County Wic Program, 119 West Washington Street, Tipton, IN 46072 2007-05-09
1700943156 Michael E Harper Md PC Family Medicine 410 Fairgrounds Rd, Tipton, IN 46072 2007-01-03
1831158252 Kevin R Worth Optometrist 214 E Jefferson St, Tipton, IN 46072 2006-03-23
1619137239 Adam T Garner Optometrist 215 E Jefferson St, Tipton, IN 46072 2008-06-17
1831217918 Tracey Powell Chiropractor 932 N Main St, Tipton, IN 46072-1047 2007-03-27
1538170840 Cicero Township Volunteer Fire Department Ambulance 750 Development Dr, Tipton, IN 46072-1072 2006-08-11
1720243330 Mary Delph Physical Therapy Assistant 433 Maple St, Tipton, IN 46072-1518 2008-07-23
1992702971 Jeffrey L Tweedy Optometrist 132 N Main St, Tipton, IN 46072-1603 2005-07-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1770114118 Abbey Bolden Nurse Practitioner 929 Miller Ct, Greenfield, IN 46140-7267 2020-02-03
1376184556 Carrie Mefford Nurse Practitioner 5435 E 16th St, Indianapolis, IN 46218-4869 2019-09-30
1700430006 Lusine Vardanyan Nurse Practitioner Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 2019-07-25
1134780851 Eric Lyakhovetsky Nurse Practitioner 327 W Saidah Rd, Bloomington, IN 47404-8965 2019-06-24
1124599394 Adria Dawn Thornburgh Nurse Practitioner 6235 Forest View Dr, Indianapolis, IN 46260-4707 2018-12-16
1033693213 Katie Marie Feeney Nurse Practitioner Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 2018-09-24
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Competitor

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City TIPTON
Zip Code 46072

Improve Information

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Dataset Information

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.

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