Organization Active NPI

Irwin S Novak MD PA

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1346446929
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E2761 Issued in TX
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

Updated by the provider on Mar 25, 2011

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
826133304OtherTXRAILROAD MEDICARE
00LA63OtherTXBCBS OF TEXAS
115445201MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.