David J Novak (NPI# 1669452256, PAC ID# 6204805484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1669452256 |
| PAC ID by PECOS | 6204805484 |
| Professional Enrollment ID | I20130228000347 |
| Full Name | David J Novak |
| Organization Legal Name | ASHTABULA COUNTY MEDICAL CENTER |
| Address |
2112 Lake Ave Ashtabula OH 44004-3436 |
| Phone Number | 4409976969 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668465600 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360125 | ASHTABULA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2112 Lake Ave, Ashtabula, OH 44004-3436 | 4409976969 | ASHTABULA COUNTY MEDICAL CENTER |
| 2420 Lake Ave, Ashtabula, OH 44004-4954 | 4409976969 | ASHTABULA COUNTY MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 87% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 30% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 2% |
| Organization Legal Name | ASHTABULA COUNTY MEDICAL CENTER |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pelumi Adedayo | Obstetrics/gynecology | Ashtabula County Medical Center | 524 W 24th St, Ashtabula, OH 44004-3423 |
| Tanya M. Burdick | Nurse Practitioner | Ashtabula County Medical Center | 1028 S Broadway, Geneva, OH 44041-7124 |
| Allison J Megyesi | Nurse Practitioner | Ashtabula County Medical Center | 2422 Lake Ave, Ashtabula, OH 44004-4985 |
| Jennifer M Stauffer | Nurse Practitioner | Ashtabula County Medical Center | 2259 Lake Ave, Ashtabula, OH 44004-3437 |
| Ashok V Kondru | Gastroenterology | Ashtabula County Medical Center | 2112 Lake Ave, Ashtabula, OH 44004-3436 |
| Sang Won Dacri Kim | Vascular Surgery | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Mitchell I Ballin | Hospitalist | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Joan Kerosky | Qualified Audiologist | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Abdul Qavi | Hospitalist | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| James H Chillcott | Family Medicine | Ashtabula County Medical Center | 2259 Lake Ave, Ashtabula, OH 44004-3437 |
| Street Address |
2112 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip | 44004-3436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashok V Kondru | Gastroenterology | Ashtabula County Medical Center | 2112 Lake Ave, Ashtabula, OH 44004-3436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orlando Antonio Dsilva | Nephrology | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Tricia A Williams | Nurse Practitioner | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Donald Raymond Farley | Podiatry | 1604 W 19th St, Ashtabula, OH 44004-3036 | |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Alicia Sue Angelo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Crystall L Weidle | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Heidi Marie Christensen | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Robyn Lynn Keaton | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Caitlin Marie Imhoff | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Tracy L Watson | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Find all physicians in zip 44004 | |||
| City | ASHTABULA |
| Zip Code | 44004 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | ASHTABULA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on David J Novak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.