DR. TIMOTHY JAMES NOVOSEL (NPI# 1518072156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518072156 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES NOVOSEL |
| Credential | MD |
| Practice Address |
1725 New Hanover Medical Park Dr Wilmington NC 28403 |
| Mailing Address |
1725 New Hanover Medical Park Dr Wilmington NC 28403-5345 |
| Practice Telephone | 9106629300 |
| Mailing Telephone | 9106629300 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2018-01072 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101232753 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
0101232753 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAL LICENSE | 2018-01072 | 01 |
| VA | TRICARE/CHAMPUS | -019 | 01 |
| VA | VIRGINIA HEALTH NETWORK | PAR | 01 |
| VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | PAR | 01 |
| VA | ANTHEM | 221095 | 01 |
| VA | MULTIPLAN | PAR | 01 |
| VA | SENTARA OPTIMA | 10012521 | 01 |
| Street Address |
1725 NEW HANOVER MEDICAL PARK DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134189046 | Wilmington Cardiology Pllc | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2006-03-24 |
| 1801356282 | Matthew R Merrill | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2019-03-22 |
| 1376037549 | Brandon Montana | Family Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2018-06-20 |
| 1538614151 | Carson Lee Antis | Physician Assistant | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2016-08-24 |
| 1164893798 | Cape Fear Physician Services | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1982075511 | Cape Fear Physician Services Inc. | Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1699146225 | Cape Fear Physician Services Inc. | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1881065415 | Cape Fear Physician Services Inc. | Oral & Maxillofacial Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1831576255 | Jonathan Pan | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-05-06 |
| 1700017209 | Jan Thomas Clemmons | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2009-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1912252883 | Benjamin Alkan Isserlin | Surgery | 4008 Burnett Womack, Cb#7228, Chapel Hill, NC 27599-7228 | 2012-07-17 |
| 1124234356 | Craig F. Copeland | Surgery | 3322 Starboard Way Apt 102, Fayetteville, NC 28314-2894 | 2007-05-15 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1467863480 | Wake Specialty Physicians, LLC | Surgery | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| 1083033971 | Sean Dieffenbaugher | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2014-04-08 |
| 1720333859 | Allen Hershel Tanner II | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2012-07-15 |
| 1174814230 | Lauren Desiree Allen Raff | Surgery | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2011-04-25 |
| 1275763567 | Gaurav Sachdev | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-07-21 |
| 1497983589 | William Farley Powers Iv | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-26 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.