Active NPI
Jennifer Lynn Vanyo-Novak, DO
- Family Medicine Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005562
- Practice address
- 9000 W Thunderbird Rd Ste 110
Peoria, AZ 85381-4451 - Phone
- (557) 767-2668
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R70147 | AZ | |
| Family Medicine Physician | 207Q00000X | 005562 | AZ | Primary |
Addresses
Primary practice location
9000 W Thunderbird Rd Ste 110
Peoria, AZ 85381-4451
Mailing address
9000 W Thunderbird Rd Ste 110
Peoria, AZ 85381-4451
Phone (557) 767-2668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102156 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11634 | CA | MD | Acupuncturist |
| R70147 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squaw Peak Family Physicians PC | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Ambulatory | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Ambulatory | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999
18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900
9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
34525 N Scottsdale Rd
Scottsdale, AZ 85266
Phone (480) 882-7550
Interoperability endpoints
- jennifer.vanyo-novak.1@27165.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
Multi-Specialty
-
- Surgery Physician
- Scottsdale, AZ
- NPI 1114250487
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1154609576
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
Multi-Specialty
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1578590303
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1962665497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W THUNDERBIRD RD STE 110",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814451",
"telephone_number": "557-767-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W THUNDERBIRD RD STE 110",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814451",
"telephone_number": "557-767-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANYO-NOVAK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R70147",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "005562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102156",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.