Thomas A Novak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25505 Issued in IA

Practice address

206 Cookson Dr
West Branch, IA 52358-9632

Phone

(319) 643-2516

Fax

(319) 643-5720

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Mercy Services Iowa City, Inc.

  • Multi-Specialty Clinic/Center
  • Iowa City, IA
  • NPI 1740213206
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1376581868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522442027",
            "telephone_number": "319-339-3855",
            "fax_number": "319-358-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COOKSON DR",
            "city": "WEST BRANCH",
            "state": "IA",
            "postal_code": "523589632",
            "telephone_number": "319-643-2516",
            "fax_number": "319-643-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031815",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080042267",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Launch Health, LLC
• Mercy Services Iowa City, Inc.
• Gerald D. Monserud, D.D.S.
• Kathryn Moon
• Lydia Jane Zhen Moore, LMSW
• Patton Family Health Center
• Patton Family Health Center PLLC
• Clifford Rappoport, LMSW
• Shane A Staker, D.C.
• Anita Albaugh Starr, D.D.S.

• Family Medicine Physician in West Branch, IA
• Providers in West Branch, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.