ROBERT H NOVACK (NPI# 1386614923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386614923 |
| Entity Type | Individual |
| Full Name | ROBERT H NOVACK |
| Credential | DPM |
| Practice Address |
90 Riviera Dr Lake Havasu City AZ 86403-5716 |
| Practice Telephone | 9288557800 |
| Practice Fax Number | 9288555392 |
| Mailing Telephone | 9288557800 |
| Mailing Fax Number | 9288555392 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0180 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0180 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 700048 | 05 | |
| AZ | BCBS AZ | AZ0065230 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255798 | Robert David Novack | Counselor | 2595 Depot Rd, Hayward, CA 94545-2341 | 2019-10-03 |
| Street Address |
90 RIVIERA DR |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477542934 | Abedon Abe Saiz | Surgery | 90 Riviera Dr, Lake Havasu City, AZ 86403-5716 | 2005-10-18 |
| 1164690335 | Havasu Foot & Ankle Center | Durable Medical Equipment & Medical Supplies | 90 Riviera Dr, Lake Havasu City, AZ 86403-5716 | 2008-02-11 |
| 1174582829 | Havasu Foot & Ankle Center | Clinic/Center | 90 Riviera Dr, Lake Havasu City, AZ 86403-5716 | 2006-03-21 |
| 1699765834 | Rio Vista Surgical Associates, P.C. | Surgery | 90 Riviera Dr, Lake Havasu City, AZ 86403-5716 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821275355 | Ronald B Killian Dpm LLC | Podiatrist | 1731 Mesquite Ave, Suite 4, Lake Havasu City, AZ 86403-5653 | 2008-01-28 |
| 1285797993 | Karen Ann Powell | Podiatrist | Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 | 2006-12-18 |
| 1205813565 | Ronald Bernard Killian | Podiatrist | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456447 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 110, Surprise, AZ 85374-3236 | 2020-08-04 |
| 1144838368 | Stocks Podiatry LLC | Podiatrist | 3229 E Malapai Dr, Phoenix, AZ 85028-4954 | 2020-07-14 |
| 1619592896 | Dr Kimble Foot Specialist, P.l.l.c. | Podiatrist | 522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 | 2020-06-12 |
| 1760006290 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 600 S Dobson Rd Ste E40, Chandler, AZ 85224-5693 | 2020-06-01 |
| 1144840273 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 2680 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1674 | 2020-04-18 |
| 1518420777 | Gfservices, Pllc | Podiatrist | 5352 E Estevan Rd, Phoenix, AZ 85054-7211 | 2019-04-12 |
| 1811463946 | Jeffrey E. Mcalister, Pllc | Podiatrist | 7301 E 2nd St Ste 206, Scottsdale, AZ 85251-5610 | 2018-10-16 |
| 1457835829 | Prompt Foot and Ankle Pllc | Podiatrist | 9046 N 28th St, Phoenix, AZ 85028-4703 | 2018-09-20 |
| 1770941353 | Rachel A. Janowicz, Dpm, Pllc | Podiatrist | 11539 N 128th Pl, Scottsdale, AZ 85259-3530 | 2016-02-10 |
| 1497179006 | R & T Foot & Ankle | Podiatrist | 13065 W. Mcdowell Rd., Suite C101, Avondale, AZ 85392 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on ROBERT H NOVACK.
| 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.