DR. MATTHEW JOHN NOVAK (NPI# 1871775122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871775122 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHN NOVAK |
| Credential | MD |
| Practice Address |
208 Hospital Pkwy Mount Vernon WA 98274 |
| Mailing Address |
1400 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604282550 |
| Practice Fax Number | 3608148390 |
| Mailing Telephone | 3604282500 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD60878072 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02985266 | 05 | |
| WA | 2107794 | 05 | |
| PA | PA MEDICARE GROUP | GU040072 | 01 |
| PA | 1021675260001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528418134 | Matthew Novak | Plastic Surgery | 2401 South 31st Street, Ms-01-e443, Temple, TX 76598 | 2016-06-14 |
| 1811344237 | Matthew Alan Novak | Student in an Organized Health Care Education/Training Program | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2016-05-16 |
| 1467710004 | Matthew Ruggeri Novak | Internal Medicine | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2012-05-02 |
| 1255539649 | Matthew R Novak | Anesthesiology | 243 Charles St, Boston, MA 02114-3002 | 2007-07-06 |
| 1396885877 | Matthew James Novak | Surgery | 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical Office, Atlanta, GA 30328 | 2007-02-07 |
| 1427147651 | Matthew P Novak | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2006-10-12 |
| Street Address |
208 HOSPITAL PKWY |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| 1043395841 | Connie L. Davis | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98274 | 2006-10-27 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1265650857 | Kirandeep Khangura | Internal Medicine | 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2007-04-22 |
| 1043395841 | Connie L. Davis | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98274 | 2006-10-27 |
| 1295755114 | Cheryl L Emmons | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2006-07-21 |
| 1881622504 | Dongsoo Kim | Internal Medicine | 102 Valentine St, Mount Vernon, NY 10550-2504 | 2006-06-29 |
| 1215311683 | Chandra Kanth Chaturvedula | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2015-07-16 |
| 1174789325 | Kidney & Hypertension Clinic Pllc | Internal Medicine | 1617 E Division St, Mount Vernon, WA 98274-4503 | 2008-08-06 |
| 1871719476 | Cheryl Emmons Mdsc | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2007-04-18 |
| 1821164765 | Muhammad Irfan Qadir M.d. L.L.C. | Internal Medicine | 514 Gramatan Ave, Suite P3, Mount Vernon, NY 10552-3054 | 2006-11-24 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.