William J. Novelli, Jr., MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F9887 Issued in TX

Legal business name

WILLIAM J. NOVELLI, JR., MD, PA

Doing business as

Wellfast Health

Practice address

1509 S Highway 69
Nederland, TX 77627-7807

Phone

(409) 722-9355

Fax

(409) 420-1002

NPI assigned

Feb 12, 2007

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ben Johnson Jr.

Title

Manager

Phone

(409) 722-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellfast Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald L Williams, PT

  • Physical Therapist
  • Houston, TX
  • NPI 1417939869
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1427199256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S HWY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-722-9355",
            "fax_number": "409-420-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277807",
            "telephone_number": "409-722-9355",
            "fax_number": "409-420-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. NOVELLI, JR., MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-722-9355",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167908601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellfast Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernest Mark West, D.C
• Wheelchair & Scooter Express LC
• Stacie Lynn Whitley, FNP-C
• Moses Edward Wilcox Sr., MD
• Rodna Sue Willett, L.P.C.
• Kara Ashley Williamson, DC
• Kathryn S. Williamson, D.O.
• Mary Wilson
• Winnie Community Hospital LLC (Riceland Pain Clinic)
• Workforce Rehabilitation Center

• Internal Medicine Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.