Active NPI
Novak & Novak PA
- Specialist
- Destin, FL
National Provider Identifier
1730384348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME47513
- Legal business name
- NOVAK & NOVAK PA
- Practice address
- 994 Airport Rd
Destin, FL 32541-2820 - Phone
- (850) 837-7777
- Fax
- (850) 837-8801
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvette Novak, M.D.
- Title
- Physician
- Phone
- (850) 837-0141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME47513 | FL | Primary |
| Specialist | 174400000X | ME47875 | FL |
Addresses
Primary practice location
994 Airport Rd
Destin, FL 32541-2820
Mailing address
PO Box 907
Destin, FL 32540-0907
Phone (850) 837-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
994 Airport Rd
Destin, FL 32541
Phone (850) 837-0141
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Destin, FL
- NPI 1780677559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332201600000",
"number": "1730384348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 907",
"city": "DESTIN",
"state": "FL",
"postal_code": "325400907",
"telephone_number": "850-837-7777",
"fax_number": "850-837-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 AIRPORT RD",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412820",
"telephone_number": "850-837-7777",
"fax_number": "850-837-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAK & NOVAK PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2012-03-20",
"status": "A",
"authorized_official_last_name": "NOVAK",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "850-837-0141",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME47513",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME47875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.