Richard Clarence Novack Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

Q9457 Issued in TX

Practice address

2501 Parkview Dr
Suite 560
Fort Worth, TX 76102-5824

Phone

(817) 850-1100

Fax

(817) 850-1104

NPI assigned

Jun 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Rutgers New Jersey Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Laparoscopy Bariatrics and Surgery PAGroup PAC ID 5294799060, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Laparoscopy Bariatrics & Surgery PA

  • Specialist
  • Fort Worth, TX
  • NPI 1568470227
  Medicare reassignment Care Compare group NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trophy Club Medical Center LP

  • General Acute Care Hospital
  • Trophy Club, TX
  • NPI 1982609558
  Care Compare affiliation

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1699971705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "SUITE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "817-850-1100",
            "fax_number": "817-850-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "SUITE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "817-850-1100",
            "fax_number": "817-850-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "RICHARD",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q9457",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09064000",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "262332-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nortside Medical Clinic, P.a.
• Jessica Norwood, SLP
• Wissam Noubani, P.A.-C
• Noushin a Firouzbakht MD PA
• Nova Medical Solutions LLC
• Alondra Novak
• Timmy Novak
• Emily Novas, CPNP
• Ashley Michelle Novinger, APRN, FNP-C
• Jazmin Lynnessa Novoa, FNP

• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.