Raymond William Novak, M.D.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

14286 Issued in AZ

Practice address

10500 E Tanque Verde Rd
Tucson, AZ 85749-8931

Phone

(520) 749-5980

Fax

(520) 749-4852

NPI assigned

May 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Epidaurus (Dba)

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1861505901
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1932334877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111213",
            "telephone_number": "520-419-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498931",
            "telephone_number": "520-749-5980",
            "fax_number": "520-749-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "14286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Novack, CRNA
• Barbara Novak, CNM
• Bethany Novak
• Gregory Daniel Novak, MD
• Rachel Joy Novak, D.C.
• Virginia Novak, LCSW
• George S. Novalis, M.D.
• Novis Vita LLC
• Novum Massage LLC
• Abigail Nowak

• Psychiatric Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.