LYNN ANN NOVAK (NPI# 1275749764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275749764 |
| Entity Type | Individual |
| Full Name | LYNN ANN NOVAK |
| Credential | MLT ASCP |
| Practice Address |
111 Washington Ave Nw Wagner SD 57380 |
| Practice Telephone | 6053843621 |
| Practice Fax Number | 6053843293 |
| Mailing Telephone | 6053843621 |
| Mailing Fax Number | 6053843293 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
53427 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5540100 | 05 | |
| SD | 5540030 | 05 |
| Street Address |
111 WASHINGTON AVE NW |
| City | WAGNER |
| State | SD |
| Zip Code | 57380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961081 | Pedro H Ibarra-perocier | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2005-12-01 |
| 1639650328 | Amanda Neyhart | Pharmacist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2018-08-22 |
| 1053861096 | Judy Cuka | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2016-10-13 |
| 1154797165 | Rishi Patel | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2015-08-13 |
| 1205234481 | Joshua Woods | Pharmacist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2014-12-19 |
| 1649686080 | Melody Otte | Nurse Practitioner | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2014-07-07 |
| 1437582053 | Brittany Marie Rothschadl | Physical Therapist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2013-08-19 |
| 1568778959 | Joan Fillaus | Dental Hygienist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2010-08-24 |
| 1588805816 | Colleen R Permann | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1396986626 | Craig A Noteboom | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1174906705 | Jerika Kirwan | Optometrist | 720 West Hwy 46, Wagner, SD 57380 | 2015-07-01 |
| 1134334766 | Drew Tyler Anderson | Chiropractor | 109 1st St Sw, Wagner, SD 57380 | 2007-05-14 |
| 1326066796 | Wagner Indian Health Service Health Center | Clinic/Center | 111 Washington Ave, Wagner, SD 57380 | 2006-07-17 |
| 1447220603 | Jay Joseph Fitzgerald | Chiropractor | 109 1st. St. Sw, Wagner, SD 57380 | 2006-01-23 |
| 1649759499 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 515 W Highway 46, Wagner, SD 57380 | 2018-08-13 |
| 1205973732 | James Pharmacy Inc | Pharmacy | 201 Main St., Wagner, SD 57380 | 2007-02-01 |
| 1679653208 | Julie Kristina Williams | Optometrist | 111 Washington Ave, Wagner Indian Health Services, Wagner, SD 57380 | 2006-10-17 |
| 1477575827 | Mark Struble | Optometrist | 121 S Main Ave, Wagner, SD 57380 | 2006-07-24 |
| 1326060054 | Sanford Medical Center | Clinic/Center | 111 Washington St, Wagner, SD 57380 | 2006-07-24 |
| Find all providers in zip 57380 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609323435 | United Siouxland Pathologists LLC | Pathology | 350 W Anchor Dr, Suite 200, Dakota Dunes, SD 57049-5335 | 2016-09-09 |
| 1003195926 | Avera St. Lukes | Pathology | 305 S State St, Aberdeen, SD 57401-4527 | 2011-08-09 |
| 1174767842 | Douglas William Lynch | Pathology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2009-04-26 |
| 1740490333 | Desirae M Muirhead | Pathology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-23 |
| 1265418248 | Ali D Jassim | Pathology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2005-12-21 |
| 1114903895 | Jerry L Simmons | Pathology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2005-12-15 |
Please comment or provide details below to improve the information on LYNN ANN 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.