DR. MICHAEL JOHN NOVAK (NPI# 1306026893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306026893 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN NOVAK |
| Credential | BDS, LDS, MS, PHD |
| Practice Address |
800 Rose St D104 Lexington KY 40536-0297 |
| Practice Telephone | 8592571494 |
| Practice Fax Number | 8593230066 |
| Mailing Telephone | 8592571494 |
| Mailing Fax Number | 8593230066 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7817 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578688693 | Michael A Novak | Chiropractor | 204 Munson St, Granville, OH 43023-1284 | 2007-03-20 |
| 1043345994 | Michael Walter Novak | Physician Assistant | 31660 Highway 3, Weaverville, CA 96093-1879 | 2007-02-22 |
| 1396894085 | Michael Edward Novak | Chiropractor | 3701 Highway 13 W, Burnsville, MN 55337-1721 | 2007-01-10 |
| 1346302973 | Michael A. Novak | Dentist | 101 S Garfield Ave, Hinsdale, IL 60521-4229 | 2006-12-13 |
| 1972501179 | Michael R Novak | Family Medicine | 1100 Trancas St Ste 250, Napa, CA 94558-2909 | 2005-07-12 |
| 1265437867 | Michael A Novak | Ophthalmology | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7344 | 2005-06-20 |
| 1912440769 | Michael James Novak | Occupational Therapist | 1901 W Harrison St, Chicago, IL 60612-3714 | 2016-11-28 |
| 1356450290 | Michael Edward Novak | Urology | 4070 Lake Dr Se, Grand Rapids, MI 49546-8294 | 2006-08-30 |
| 1134238694 | Michael A Novak | Otolaryngology | 611 W Park St, Sc2, Urbana, IL 61801-2529 | 2006-08-29 |
| 1265481212 | Michael L Novak | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2006-05-08 |
| Street Address |
800 ROSE ST D104 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| 1811462336 | Lexington Periodontics and Implant Dentistry | Dentist | 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 | 2018-10-11 |
| 1326285883 | Jeff Dickson | Dentist | 249 Greenbriar Rd, Lexington, KY 40503-4020 | 2009-01-20 |
| 1609013481 | Amjad Aldallal | Dentist | 3900 Crosby Dr Apt 2212, Lexington, KY 40515-1808 | 2009-01-15 |
| 1790977668 | Ward Thomas Piepgrass | Dentist | 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 | 2007-08-15 |
| 1023130275 | Walter Neal Shepherd | Dentist | 3285 Blazer Parkway, Suite 110, Lexington, KY 40509 | 2007-04-06 |
| 1346385010 | Paul Armstrong Jr. | Dentist | 811 Corporate Dr, 302, Lexington, KY 40503-5407 | 2007-02-21 |
| 1205927696 | Gregory Shawn Vance | Dentist | 3285 Blazer Pkwy, Suite 210, Lexington, KY 40509-2119 | 2006-09-28 |
| 1962511832 | Garnett C. Brown IIi | Dentist | 1001 Monarch St Ste 200, Lexington, KY 40513-1875 | 2006-08-30 |
| Find all providers in LEXINGTON | ||||
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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.