Active NPI
Joseph Colin Novack
- Surgery Physician
- Columbia, SC
National Provider Identifier
1982363578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LL89824
- Practice address
- 2 Richland Medical Park Drive
Columbia, SC 29203 - Phone
- (803) 434-8198
- NPI assigned
- Dec 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL89824 | SC | Primary |
Addresses
Primary practice location
2 Richland Medical Park Drive
Columbia, SC 29203
Mailing address
2 Richland Medical Park Drive
Columbia, SC 29203
Phone (803) 434-8198
Other names 1
- Jack Novack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL89824 | SC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1982363578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 RICHLAND MEDICAL PARK DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 RICHLAND MEDICAL PARK DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVACK",
"first_name": "JOSEPH",
"middle_name": "COLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-11",
"last_updated": "2023-07-10",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL89824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACK",
"last_name": "NOVACK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.