A. Michael Novena, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-05-2208 Issued in OH

Practice address

55 Caren Ave
Suite 170
Worthington, OH 43085-2515

Phone

(614) 846-1527

Fax

(614) 846-1704

NPI assigned

Dec 15, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1639155203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CAREN AVE",
            "address_2": "SUITE 170",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852515",
            "telephone_number": "614-846-1527",
            "fax_number": "614-846-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CAREN AVE",
            "address_2": "SUITE 170",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852515",
            "telephone_number": "614-846-1527",
            "fax_number": "614-846-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVENA",
        "first_name": "A.",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-2208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0664357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Worthington, OH
• Providers in Worthington, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.