DR. WILLIAM V NOVAK (NPI# 1740367895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740367895 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM V NOVAK |
| Credential | MD |
| Practice Address |
1505 Eastland Dr. Bloomington IL 61701 |
| Mailing Address |
5405 North Knoxville Avenue Peoria IL 61614 |
| Practice Telephone | 3096914410 |
| Practice Fax Number | 3095892830 |
| Mailing Telephone | 3096914410 |
| Mailing Fax Number | 3095892830 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-093560 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-093560 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629264965 | William Novak | Speech-Language Pathologist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2007-09-20 |
| 1124224837 | William J Novak | Psychiatry & Neurology | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 | 2007-06-21 |
| 1427275247 | William A Novak | Nurse Practitioner | 3600 E Harry St, Wichita, KS 67218-3713 | 2007-04-20 |
| 1366486037 | William Henry Novak Jr. | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2006-06-15 |
| 1245225382 | William G. Novak | Radiology | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2005-09-14 |
| Street Address |
1505 EASTLAND DR. |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477523645 | Scott E. Mattson | Internal Medicine | 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 | 2006-01-23 |
| 1104821974 | Jennifer Petersen-goldspiel | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-06-16 |
| 1336142017 | Yogesh K Agarwal | Internal Medicine | 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 | 2005-05-24 |
| 1184980880 | Saki Miwa | Internal Medicine | 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 | 2012-04-06 |
| 1124221684 | Kevin F Sumption | Internal Medicine | 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 | 2007-06-11 |
| 1558423806 | Bloomington Cardiology PC | Internal Medicine | 822 W 1st St, Suite 7, Bloomington, IN 47403 | 2006-12-14 |
| 1780796417 | Andrew Dundee Ferguson | Internal Medicine | 1312 W. Arch Haven Avenue, Suite A, Bloomington, IN 47403 | 2006-08-31 |
| 1831110352 | Louis J Calli Jr. | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2006-07-21 |
| 1962450734 | Illinois Cardiovascular & Thoracic Surgery, Ltd | Internal Medicine | 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 | 2006-05-04 |
| 1093773376 | Mohan Shenoy | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2006-05-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.