Gregory D. Novak, M.D. P.C.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

41896 Issued in AZ

Legal business name

GREGORY D. NOVAK, M.D. P.C.

Practice address

1600 W University Ave
Suite 215
Flagstaff, AZ 86001-3114

Phone

(928) 774-1693

Fax

(928) 774-3533

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Daniel Novak, M.D.

Title

Owner

Phone

(928) 774-1693

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael James Papez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Flagstaff, AZ
  • NPI 1164635207
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1730310418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE",
            "address_2": "SUITE 215",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013114",
            "telephone_number": "928-774-1693",
            "fax_number": "928-774-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE",
            "address_2": "SUITE 215",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013114",
            "telephone_number": "928-774-1693",
            "fax_number": "928-774-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. NOVAK, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-1693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "41896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438736",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greengate Intensive, LLC
• David Greenwalt
• Andrew J Gregg, D.C.
• Wesley Gregg, D.C.
• Gregory a. Cox, PA-C, PLLC
• Alyssa Grieco
• Edward L Griffen, NMD
• Gail H Griffith, RN
• Garyn Grijalva, FNP-BC
• Amanda Marie Grimh, OD

• Anatomic Pathology & Clinical Pathology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.