MEDICARE: CARA D NOVICK MD

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
1	207X00000X	Orthopaedic Surgery Physician	ME80677	FL
2	207X00000X	Orthopaedic Surgery Physician	0101249783	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	1346218195	OTHER	VA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1346218195	OTHER	VA	AETNA
2	1346218195	OTHER	VA	VA PREMIER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7540791	OTHER	VA	CIGNA
5	311610834	OTHER	VA	MDIPA
6	311610834	OTHER	VA	UHC
7	1346218195	OTHER	VA	ANTHEM
8	1346218195	OTHER	VA	MULTIPLAN
10	311610834	OTHER	VA	BEECH STREET
11	311610834	OTHER	VA	MAMSI
12	311610834	OTHER	VA	VHN
13	10082054	OTHER	VA	OPTIMA
14	311610834	OTHER	VA	TRICARE
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346218195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA D NOVICK MD

Provider Business Mailing Address
First Line	:	PO BOX 741593
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-1593
Country	:	US
Telephone Number	:	757-668-8544
Fax Number	:	757-668-6544

Provider Business Practice Location Address
First Line	:	171 KEMPSVILLE RD
Second Line	:	BUILDING A
City	:	NORFOLK
State	:	VA
Zip	:	23502-4700
Country	:	US
Telephone Number	:	757-668-6550
Fax Number	:	757-668-6544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	01/11/2013

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