MR. MARC JEFFREY NOVOM (NPI# 1669405742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669405742 |
| Entity Type | Individual |
| Full Name | MR. MARC JEFFREY NOVOM |
| Credential | MD |
| Practice Address |
8989 N Port Washington Road Suite 122 Milwaukee WI 53217 |
| Mailing Address |
10503 N Stratford Place Mequon WI 53092 |
| Practice Telephone | 4143516250 |
| Practice Fax Number | 4143516465 |
| Mailing Telephone | 2622420155 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
47442 | MN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME88701 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
31417 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
21059020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
8989 N PORT WASHINGTON ROAD SUITE 122 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919173 | Denis Nathan | Psychiatry & Neurology | 2589 N Terrace Ave, Milwaukee, WI 53211-3821 | 2007-12-27 |
| 1235355496 | Ayman Ahmad Gheith | Psychiatry & Neurology | 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 | 2007-04-17 |
| 1881764652 | Neurowisconsin Sc | Psychiatry & Neurology | 3033 S 27th St, 302, Milwaukee, WI 53215 | 2006-11-09 |
| 1356389258 | Veronica N Sosa | Psychiatry & Neurology | 2801 W Kinnickinnic Pkwy, Suite 570, Milwaukee, WI 53215-3669 | 2006-06-03 |
| 1770534513 | Hendrikus G Krouwer | Psychiatry & Neurology | 2350 N Lake Dr. Ste G01, Csm Cancer Center-milwaukee, Milwaukee, WI 53211-4528 | 2006-05-15 |
| 1194776922 | Serena Wan-si Wan-si Hung | Psychiatry & Neurology | Froedtert & Med College Clin - West, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| 1861489536 | Rizwanullah Arain | Psychiatry & Neurology | 6026 W Lisbon Ave, Milwaukee, WI 53210-2114 | 2005-09-28 |
| 1689136129 | Ryan Lee | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-04-03 |
| 1700316122 | Kevin Chow | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-06-18 |
| 1275064792 | Brandon Overholt | Psychiatry & Neurology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-03-26 |
| Find all providers in MILWAUKEE | ||||
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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.