Novacel

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NOVACEL

Practice address

4624 S Holladay Blvd Ste 201
Salt Lake City, UT 84117-7168

Phone

(018) 266-3113

Fax

(801) 266-5633

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Mariana Anderson-Ominski

Title

Billing Director

Phone

(801) 888-1140

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Novacel Doing business as

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1790243111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177168",
            "telephone_number": "801-438-8280",
            "fax_number": "801-438-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177168",
            "telephone_number": "018-266-3113",
            "fax_number": "801-266-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-OMINSKI",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "801-888-1140"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790243111",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Not 2-Day, LLC
• Ida Nourbakhsh, DDS
• Alexis Elizabeth Nouri, LCSW
• Nourish Nutrition Co
• Nova Dental
• Joseph J. Novak, MD
• Kali Novak
• Peter J Novak, MD
• Alfredo Daniel Novoa
• Maria Camila Novoa, DDS

• Foot & Ankle Surgery Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.