Active NPI
Gladys Elaine Novak, MSOM
- Acupuncturist
- Madison, WI
National Provider Identifier
1083873707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 509-055
- Practice address
- 8517 Excelsior Dr Ste 304
Madison, WI 53717-2910 - Phone
- (608) 833-1688
- Fax
- (608) 833-1683
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 509-055 | WI | Primary |
Addresses
Primary practice location
8517 Excelsior Dr Ste 304
Madison, WI 53717-2910
Mailing address
8517 Excelsior Dr Ste 304
Madison, WI 53717-2910
Phone (608) 833-1688
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 509-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1083873707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8517 EXCELSIOR DR STE 304",
"city": "MADISON",
"state": "WI",
"postal_code": "537172910",
"telephone_number": "608-833-1688",
"fax_number": "608-833-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8517 EXCELSIOR DR STE 304",
"city": "MADISON",
"state": "WI",
"postal_code": "537172910",
"telephone_number": "608-833-1688",
"fax_number": "608-833-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "GLADYS",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "MSOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "509-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.