Matthew Novin, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.014694 Issued in OH

Practice address

15105 St Clair Ave
Cleveland, OH 44110-1111

Phone

(216) 800-8020

Fax

(216) 830-7652

NPI assigned

Apr 27, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: mnovin202929@direct.metrohealth.org

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.

• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1972958072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 ST CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101111",
            "telephone_number": "216-800-8020",
            "fax_number": "216-830-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 ST CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101111",
            "telephone_number": "216-800-8020",
            "fax_number": "216-830-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIN",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Frances Novak, C.N.P.
• Sarah Rose Novak, LSW
• Wanchana Rose Novak, NP
• Rachel Novik, DO
• Maxim Novikov, MD
• Rachel Novinc, LCPO
• Charles Jason Novince
• Leah Novinger, M.D., PH.D.
• Edward Joseph Novosel, PT
• Erin Jean Novotny, R.D.

• Family Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.