Joel Novack DPM, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36001391 Issued in OH

Legal business name

JOEL NOVACK DPM, INC

Practice address

20050 Harvard Rd
Suite 205
Warrensville Heights, OH 44122-6816

Phone

(216) 491-9151

Fax

(216) 491-7243

NPI assigned

Jan 23, 2007

Organization subpart

Yes

Parent organization

JOEL NOVACK DPM, INC.As reported in NPPES

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

Authorized official

Name

Dr. Joel Novack, DPM

Title

President

Phone

(216) 491-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Joel Novack DPM Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Novack, DPM

  • Podiatrist
  • Wickliffe, OH
  • NPI 1598762924
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1265586564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391660",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441398660",
            "telephone_number": "216-491-9151",
            "fax_number": "440-491-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD RD",
            "address_2": "SUITE 205",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226816",
            "telephone_number": "216-491-9151",
            "fax_number": "216-491-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL NOVACK DPM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOEL NOVACK DPM, INC.",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-491-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetrius James
• Hailey Janos
• Harold Jarvis
• Kasey Elizabeth Jeckavitch
• Caroline Jiang, PA-C
• La Toya Johnson - Hunter, LSW
• Cherita Johnson
• Dominique Johnson
• Jamie Johnson
• Laprise Johnson, QMHS

• Podiatrist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.