Physician Compare National (NPI:1487636791)

HEALTHCARE PROVIDER: ANGELA M NOVY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487636791
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274430707
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031215000174
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NOVY
	Individual professional last name
Provider First Name	ANGELA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	934 CTR ST
	Group Practice or individual's line 1 address
City	ASHLAND
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	448054063
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360118
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OHIOHEALTH MANSFIELD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	361310
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY WILLARD HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360365
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	AVITA ONTARIO
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360036
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WOOSTER COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1487636791)

HEALTHCARE PROVIDER: ANGELA M NOVY MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information