Ezio Francesco Novelli (NPI# 1558622712, PAC ID# 6406162973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1558622712 |
| PAC ID by PECOS | 6406162973 |
| Professional Enrollment ID | I20180628002127 |
| Full Name | Ezio Francesco Novelli |
| Organization Legal Name | ORAL SURGERY ASSOCIATES OF LANSING PC |
| Address |
4201 Okemos Rd Okemos MI 48864-3200 |
| Phone Number | 5173498383 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY |
| Graduation Year | 2016 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 0547349458 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5238 W St Joe Hwy 2, Lansing, MI 48917-4085 | 5173231000 | ORAL SURGERY ASSOCIATES OF LANSING PC |
| 4201 Okemos Rd, Okemos, MI 48864-3200 | 5173498383 | ORAL SURGERY ASSOCIATES OF LANSING PC |
| Organization Legal Name | ORAL SURGERY ASSOCIATES OF LANSING PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Makovey | Maxillofacial Surgery | Oral Surgery Associates of Lansing PC | 2240 S State Rd, Ionia, MI 48846-2149 |
| Jeffrey E Persico | Maxillofacial Surgery | Oral Surgery Associates of Lansing PC | 4201 Okemos Rd, Okemos, MI 48864-3200 |
| John S Faber | Maxillofacial Surgery | Oral Surgery Associates of Lansing PC | 4201 Okemos Rd, Okemos, MI 48864-3200 |
| Street Address |
4201 OKEMOS RD |
| City | OKEMOS |
| State | MI |
| Zip | 48864-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey E Persico | Maxillofacial Surgery | Oral Surgery Associates of Lansing PC | 4201 Okemos Rd, Okemos, MI 48864-3200 |
| John S Faber | Maxillofacial Surgery | Oral Surgery Associates of Lansing PC | 4201 Okemos Rd, Okemos, MI 48864-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Delass | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Andrew Bult | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Eric L Luttig | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Megan Brew | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Alexzanda Jo Johnson | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Anthony P. Salvador | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Melissa B Kong | Optometry | Rx Optical Laboratories, Inc. | 2285 W Grand River, Okemos, MI 48864-1649 |
| Zachary Charles Smith | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Steven C Clerc | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Eghosa Aimuamwosa Olomu | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Find all physicians in zip 48864 | |||
| City | OKEMOS |
| Zip Code | 48864 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | OKEMOS + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Ezio Francesco Novelli.
| 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.