Joseph Novosel, DPM
Individual provider Active NPI Podiatrist · Beaumont, TX
NPI 1669488128 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1669488128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 0564 (TX)
- Practice address
- 2850 Eastex Fwy
Beaumont, TX 77703-4618 - Phone
- (409) 899-1340
- Fax
- (409) 899-5184
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 564 | LA | MD | Chiropractor |
| 0564 | TX | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0564 | TX | Yes |
Addresses
Primary practice location
2850 Eastex Fwy
Beaumont, TX 77703-4618
Mailing address
2850 Eastex Fwy
Beaumont, TX 77703-4618
Phone (409) 899-1340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AM11 | Other | TX | MEDICARE PTAN |
| 000812001 | Medicaid | TX |
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.