NPIMap

Organization Active NPI

Novus Health and Wellness

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1841654886
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVUS HEALTH AND WELLNESS
Practice address
4808 Munson St NW
Canton, OH 44718
Phone
(330) 830-8666
Fax
(330) 832-3499
NPI assigned
Apr 6, 2016
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Jyothi Dyavanapalli Gudla, MDNPI 1194872713
Title
President
Phone
(330) 830-8666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X

Addresses

Primary practice location

4808 Munson St NW
Canton, OH 44718

Mailing address

4808 Munson St NW
Canton, OH 44718-3613
Phone (330) 830-8666

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Neogeriatrics

    dba Novus Health and Wellness

    • Geriatric Medicine (Internal Medicine) Physician
    • Canton, OH
    • NPI 1124259536

    Member Of

    NPD member

Locations

4808 Munson St NW
Canton, OH 44718
Phone (330) 460-4115

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1841654886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183613",
            "telephone_number": "330-830-8666",
            "fax_number": "330-832-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-830-8666",
            "fax_number": "330-832-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "GUDLA",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_middle_name": "DYAVANAPALLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-830-8666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.