MATTHEW J. NOVAK, MD, P.C. (NPI# 1467637538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467637538 |
| Entity Type | Organization |
| Organization Name | MATTHEW J. NOVAK, MD, P.C. |
| Practice Address |
780 Canton Rd Ne Suite 320 Marietta GA 30060-7241 |
| Mailing Address |
50 Barrett Pkwy Suite 1200, # 338 Marietta GA 30066-3300 |
| Practice Telephone | 7707941995 |
| Practice Fax Number | 7707941996 |
| Mailing Telephone | 7707941995 |
| Mailing Fax Number | 7707941996 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. MATTHEW J NOVAK (OWNER) |
| Authorized Official Telephone | 7707941995 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 048552 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | 020048465 | 01 |
| GA | 00899258A | 05 |
| Street Address |
780 CANTON RD NE SUITE 320 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717688 | Andrew Everett Sutton | Otolaryngology | 780 Canton Rd Ne, Suite 330, Marietta, GA 30060-7241 | 2005-08-12 |
| 1326431552 | Lisa Holtzclaw Brown | Nurse Practitioner | 780 Canton Rd Ne, Suite 410, Marietta, GA 30060-7241 | 2015-03-12 |
| 1811380025 | Wellstar Medical Group, LLC | Psychiatry & Neurology | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 | 2015-03-12 |
| 1548653017 | Heather Roberts | Nurse Practitioner | 780 Canton Rd Ne, Suite 410, Marietta, GA 30060-7241 | 2015-03-09 |
| 1235528266 | Christi Howard | Nurse Practitioner | 780 Canton Rd Ne, Suite 410, Marietta, GA 30060-7241 | 2015-01-14 |
| 1003128240 | Jennifer Irene Sarno | Nurse Practitioner | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7241 | 2010-07-03 |
| 1396066064 | Jonathan Woolfson Md, PC | Ophthalmology | 780 Canton Rd Ne, Suite 100, Marietta, GA 30060-7241 | 2010-06-17 |
| 1144428251 | Sleep Health Diagnostics,llc. | Clinic/Center | 780 Canton Rd Ne, Suite 310, Marietta, GA 30060-7241 | 2007-07-10 |
| 1861510687 | Geralyn Drumheller | Audiologist | 780 Canton Rd Ne, Suite 330, Marietta, GA 30060-7241 | 2007-03-27 |
| 1518056522 | Noel Holtz | Neuromusculoskeletal Medicine & OMM | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7241 | 2006-10-11 |
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|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1578971180 | April Harris | Specialist | 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 | 2014-07-27 |
| 1306259031 | Gary Studenic | Specialist | 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 | 2014-06-10 |
| 1992115448 | Strategic Billing Solutions, LLC | Specialist | 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 | 2014-05-06 |
| 1912326349 | Kayla Kendall | Specialist | 219 2nd St, Suite 206, Marietta, OH 45750-8062 | 2014-04-14 |
| 1235569401 | Mitchell Jablow | Specialist | 3641 Clubland Dr, Marietta, GA 30068-4003 | 2013-11-25 |
| 1336579101 | Christine Thomas | Specialist | 406 Scammel St, Marietta, OH 45750-2009 | 2013-11-15 |
| 1922379304 | The Injury Wellness Surgical and Procedure Institute LLC | Specialist | 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 | 2012-01-18 |
| 1235440264 | Silasmasih In-home Therapy Services,llc | Specialist | 184 Parkstone Way, Marietta, GA 30066-4977 | 2010-06-24 |
| Find all providers in MARIETTA | ||||
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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.