Active NPI
Michael V Novia, M.D.
- Plastic Surgery Physician
- Olympia, WA
National Provider Identifier
1679604482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD00039718
- Practice address
- 3920 Capital Mall Drive SW
Suite 201
Olympia, WA 98502-8702 - Phone
- (360) 943-0755
- Fax
- (360) 754-7885
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD00039718 | WA | Primary |
Addresses
Primary practice location
3920 Capital Mall Drive SW
Suite 201
Olympia, WA 98502-8702
Mailing address
3920 Capital Mall Drive SW
Suite 201
Olympia, WA 98502-8702
Phone (360) 943-0755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip C. Kierney M.D. P.S | Past | Accepting new patients | |
| Northwest Surgical Group PC | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ambulatory Puyallup Surgicenter
- Specialist
- Puyallup, WA
- NPI 1508087693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1679604482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DRIVE SW",
"address_2": "SUITE 201",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028702",
"telephone_number": "360-943-0755",
"fax_number": "360-754-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DRIVE SW",
"address_2": "SUITE 201",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028702",
"telephone_number": "360-943-0755",
"fax_number": "360-754-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVIA",
"first_name": "MICHAEL",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WA",
"license": "MD00039718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.