Active NPI
Irwin S Novak MD PA
- Neurology Physician
- Houston, TX
National Provider Identifier
1346446929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E2761
- Legal business name
- IRWIN S NOVAK MD PA
- Practice address
- 1213 Hermann Dr
Suite #745
Houston, TX 77004-7018 - Phone
- (713) 630-0228
- Fax
- (713) 630-0468
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irwin S Novak, MD PA
- Title
- President
- Phone
- (713) 630-0228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | E2761 | TX | Primary |
Addresses
Primary practice location
1213 Hermann Dr
Suite #745
Houston, TX 77004-7018
Mailing address
1213 Hermann Dr
Suite #745
Houston, TX 77004-7018
Phone (713) 630-0228
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826133304 | Other | TX | RAILROAD MEDICARE |
| 00LA63 | Other | TX | BCBS OF TEXAS |
| 115445201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1213 Hermann Dr
Ste 745
Houston, TX 77004
Phone (713) 520-5155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Houston, TX
- NPI 1558353417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301011200000",
"number": "1346446929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "SUITE #745",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047018",
"telephone_number": "713-630-0228",
"fax_number": "713-630-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "SUITE #745",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047018",
"telephone_number": "713-630-0228",
"fax_number": "713-630-0468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRWIN S NOVAK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2011-03-25",
"status": "A",
"authorized_official_last_name": "NOVAK",
"authorized_official_first_name": "IRWIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-630-0228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "E2761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "826133304",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "00LA63",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115445201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.