Timothy Gerard Novicky, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4064 Issued in OH

Practice address

8098 E Market St
Suite #2
Warren, OH 44484-2270

Phone

(330) 717-3550

Fax

(330) 617-4270

NPI assigned

Nov 2, 2010

Last updated

Oct 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Chiropractic Center, LLC

  • Chiropractor
  • Warren, OH
  • NPI 1144673278
  Medicare reassignment NPD Authorized official
• Samirkumar J Shah MD, PC

  • Legal Medicine
  • Pittsburgh, PA
  • NPI 1952605578
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1508166844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8098 E MARKET ST",
            "address_2": "SUITE #2",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842270",
            "telephone_number": "330-717-3550",
            "fax_number": "330-617-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8098 E MARKET ST",
            "address_2": "SUITE #2",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842270",
            "telephone_number": "330-717-3550",
            "fax_number": "330-617-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICKY",
        "first_name": "TIMOTHY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeastern Ohio Foot and Ankle Inc
• Northern Ohio Medical Specialists, LLC (Noms Afcc)
• Northland Hearing Centers, Inc (All American Hearing Aids)
• Joseph Novak, CDCA
• Caitlin E Novicky, SWT, CDCA, QMHS
• Now Med Care Ohio Inc
• Deanna Lynne Nussle, RN
• Mary Nyers, CT
• Maria Jenelle O'Brien
• Marcus O'Hara

• Chiropractor in Warren, OH
• Providers in Warren, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.