Brian J Novack Dpm in Wickliffe - Foot Surgery
Brian J Novack Dpm - NPI 1316092844
Brian J Novack Dpm is a Foot Surgery in Wickliffe, Ohio. Brian J Novack Dpm practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Brian J Novack Dpm is 1316092844. The last update date is 2007-11-01.
Brian J Novack Dpm's current location address is 29630 Euclid Ave, Wickliffe, Ohio. You can contact this provider via phone number 4409446665 and fax number 4409446672. The mailing address for Brian J Novack Dpm is 29630 Euclid Ave, Wickliffe, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brian J Novack Dpm |
|---|---|
| Address | 29630 Euclid Ave, Wickliffe, Ohio |
| Phone Number | 4409446665 |
| Fax Number | 4409446672 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Novack J Brian |
| Credentials | DPM |
| Telephone Number | 4409446665 |
NPI Number Detail
| NPI Number | 1316092844 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 29630 Euclid Ave |
|---|---|
| City | Wickliffe |
| State | Ohio (OH) |
| Post Code | 440921829 |
| Phone Number | 4409446665 |
| Fax Number | 4409446672 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 36001391N |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288591 | OH | BCBS | |
| 275645717008 | OH | MEDICAL MUTUAL | |
| 2146270 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian J Novack Dpm by the Centers for Medicare & Medicaid Services?
The Brian J Novack Dpm has been assigned the NPI (National Provider Identifier) 1316092844. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brian J Novack Dpm is located?
The Brian J Novack Dpm is situated at the following address: 29630 Euclid Ave, Wickliffe, OH, 440921829.
What is Brian J Novack Dpm's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian J Novack Dpm is Foot Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316092844 to Brian J Novack Dpm?
The Centers for Medicare & Medicaid Services assigned the 1316092844 to Brian J Novack Dpm on 2007-01-24.
When was the information pertaining to Brian J Novack Dpm most recently updated or revised?
The details related to Brian J Novack Dpm, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-01.
NPI Number: 1952305922
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