Roberto Novoa, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35057654 Issued in OH

Practice address

2600 Sixth St SW
Canton, OH 44710-1702

Phone

(330) 363-1341

Fax

(330) 363-0074

NPI assigned

Jun 15, 2005

Last updated

Feb 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roberto Novoa, M.D., LLC

  • Specialist
  • Canton, OH
  • NPI 1720107246
  Authorized official Same address or phone

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1083619258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6329",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447060329",
            "telephone_number": "330-363-1341",
            "fax_number": "330-363-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-1341",
            "fax_number": "330-363-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOA",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35057654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Novaheart a Touch of Care LLC
• Zachary Novak, PA-C
• Novus Health and Wellness
• Brent Andrew Nowicki, PA
• Maranda E Nowlin, LPCC-S
• Teresa Noyes, RBT
• Abigail Effingham Ntumba, DO

• Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.