Individual provider Active NPI

Sharon Ann Novy, M.D.

  • Pediatric Adolescent Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1023081783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
27007 Issued in AZ
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
465402MedicaidAZ

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

LicenseStateTypeSpecialty
27007AZMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Oasis Pediatrics Adolescent Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sharon.novy.1@2509.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.