PAUL M NOVAKOVICH (NPI# 1023227683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023227683 |
| Entity Type | Individual |
| Full Name | PAUL M NOVAKOVICH |
| Credential | MD |
| Practice Address |
1200 S Farmerville St Ruston LA 71270-5941 |
| Practice Telephone | 3182553690 |
| Practice Fax Number | 3182516177 |
| Mailing Telephone | 3182553690 |
| Mailing Fax Number | 3182516177 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME108790 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
205711 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 129805 | 05 | |
| AL | 129809 | 05 | |
| FL | 003720500 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 593-07447 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 593-07448 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 14E9E | 01 |
| Street Address |
1200 S FARMERVILLE ST |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831178755 | Green Clinic LLC | Dietitian, Registered | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-10 |
| 1104399393 | Erin Lancaster | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2019-01-10 |
| 1578036349 | Erin Michelle Waller | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2019-01-04 |
| 1578043204 | Jodi Serpas | Physical Therapist | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2018-08-21 |
| 1295214542 | Patricia Masters | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2018-08-08 |
| 1295220549 | Kathryn W Claborn | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2018-06-28 |
| 1700385622 | Lisa Marie Farris | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2018-02-06 |
| 1972030120 | Abigail Mandrell | Physical Therapist | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2017-05-18 |
| 1992162622 | Robert Railey Garrett | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2016-01-26 |
| 1982071973 | Christy Michelle Gallot | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760733232 | St Francis Medical Group LLC | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-09-25 |
| 1073583613 | Richard Ballard | Orthopaedic Surgery | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897743 | Highland Clinic, A Prof Med Corp | Orthopaedic Surgery | 5025 Shed Rd, Bossier City, LA 71111-5434 | 2020-09-24 |
| 1437770435 | Cwd LLC | Orthopaedic Surgery | 2600 Belle Chasse Hwy Ste I, Terrytown, LA 70056-7156 | 2020-04-30 |
| 1982224556 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 376 Cocoville Rd, Mansura, LA 71350-4264 | 2020-04-23 |
| 1962041954 | James R Lafleur | Orthopaedic Surgery | 122 Wembley Rd, Lafayette, LA 70503-3567 | 2019-12-23 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1467935965 | Marco Rodriguez Md LLC | Orthopaedic Surgery | 606 Colonial Dr Ste A, Baton Rouge, LA 70806-6535 | 2018-09-11 |
| 1114438140 | Oano LLC | Orthopaedic Surgery | 3434 Prytania St Ste 430, New Orleans, LA 70115-3525 | 2017-10-17 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1164961975 | Lmg LLC | Orthopaedic Surgery | 14041 Highway 90, Boutte, LA 70039-3511 | 2017-02-14 |
| 1205385796 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 601 W Lafayette St, Winnfield, LA 71483-3451 | 2016-09-26 |
| Find all providers with the same taxonomy | ||||
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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.