Active NPI
Sharon Ann Novy, M.D.
- Pediatric Adolescent Medicine Physician
- Gilbert, AZ
National Provider Identifier
1023081783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 27007
- Practice address
- 1425 W Elliot Rd
Suite 204
Gilbert, AZ 85233-5129 - Phone
- (480) 792-1012
- Fax
- (480) 792-1013
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 27007 | AZ | Primary |
Addresses
Primary practice location
1425 W Elliot Rd
Suite 204
Gilbert, AZ 85233-5129
Mailing address
1425 W Elliot Rd
Gilbert, AZ 85233-5142
Phone (480) 792-1012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465402 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27007 | AZ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Oasis Pediatrics | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- sharon.novy.1@2509.direct.athenahealth.com
- https://api.platform.athenahealth.com/2509/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Gilbert, AZ
- NPI 1447467931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023081783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 W ELLIOT RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335142",
"telephone_number": "480-792-1012",
"fax_number": "480-792-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W ELLIOT RD",
"address_2": "SUITE 204",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335129",
"telephone_number": "480-792-1012",
"fax_number": "480-792-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVY",
"first_name": "SHARON",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "AZ",
"license": "27007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465402",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.