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NPI Code Detail

MEDICARE: DR. JAMES F NOVAK M.D.

MEDICARE: DR. JAMES F NOVAK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD07899OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225169790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES F NOVAK M.D.
Provider Business Mailing Address
First Line : 1905 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2638
Country : US
Telephone Number : 541-882-4691
Fax Number : 541-883-5211
Provider Business Practice Location Address
First Line : 1905 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2638
Country : US
Telephone Number : 541-882-4691
Fax Number : 541-883-5211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/09/2007

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Directions to “ DR. JAMES F NOVAK M.D.” Practice Location

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