Novamed Surgery Center of Madison, Limited Partnership

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NOVAMED SURGERY CENTER OF MADISON, LIMITED PARTNERSHIP

Practice address

1200 John Q Hammons Dr
Suite 102
Madison, WI 53717-1959

Phone

(608) 827-5504

Fax

(608) 827-6107

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Novamed Surgery Center of Madison LPCCN 52C0001043

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1679570774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR",
            "address_2": "SUITE 102",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171959",
            "telephone_number": "608-827-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR",
            "address_2": "SUITE 102",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171959",
            "telephone_number": "608-827-5504",
            "fax_number": "608-827-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF MADISON, LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41913700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00190508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolie A Nottelson, NP
• Frank H. Novak, PA-C
• Gladys Elaine Novak, MSOM
• Laura Novak, LMT
• Sydney Novak, PHARMD
• Logan Novom, SLP
• Tanya Marie Novotnak, PH.D.
• Melissa Marie Novotny, DNP, APNP
• Mark Nowacki
• Beata Malgorzata Nowak, PHARMD

• Ambulatory Surgical Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.