Jacob John Novak, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

K2766 Issued in TX

Practice address

2628 Long Prairie Rd
Suite 107
Flower Mound, TX 75022-4839

Phone

(972) 899-6666

Fax

(972) 899-6665

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Missouri City Medical Center

  • Emergency Care Clinic/Center
  • Missouri City, TX
  • NPI 1629207675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043336381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961214",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610214",
            "telephone_number": "972-899-6666",
            "fax_number": "972-899-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 LONG PRAIRIE RD",
            "address_2": "SUITE 107",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-899-6666",
            "fax_number": "972-899-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "K2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "K2766",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Texas Movement Disorders Institute, Inc
• Northshore Family Dental PLLC
• Northwest Texas Cardiology Associates PA
• Salima Nota, PA-C
• Nourished LLC
• Jamie Leigh Novitsky, M.S. CCC-SLP
• Nu Yu Medicine, PLLC
• Nufactor Inc
• Nufactor, Inc.
• Andrew Leevirt Null, M.S. LPC

• Emergency Medical Services (Emergency Medicine) Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• 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.