MEDICARE: NOVANT MEDICAL GROUP, INC.

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	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1639334329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVANT MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	308 CHESTER AVE
Second Line	:
City	:	GREAT FALLS
State	:	SC
Zip	:	29055-1104
Country	:	US
Telephone Number	:	803-482-2129
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 CHESTER AVE
Second Line	:
City	:	GREAT FALLS
State	:	SC
Zip	:	29055-1104
Country	:	US
Telephone Number	:	803-482-2129
Fax Number	:

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	DINSEH S PAI
Credential	:
Telephone Number	:	704-384-9113

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	05/11/2009

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1073962759 — DR. GARRETT COLTON KENT M.D.
Practice Location Address:

308 CHESTER AVE
GREAT FALLS, SC
29055-1104

Practice Phone: 803-482-2129
Practice Fax:

1447797816 — KRISTIE WADE FNP
Practice Location Address:

308 CHESTER AVE
GREAT FALLS, SC
29055-1104

Practice Phone: 803-482-2129
Practice Fax:

1417684192 — MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Practice Location Address:

308 CHESTER AVE
GREAT FALLS, SC
29055-1104

Practice Phone: 843-792-1414
Practice Fax:

1790903391 — CAMBRIDGE PLACE GF, LLC
Practice Location Address:

1104 6TH AVE N
GREAT FALLS, MT
59401-1583

Practice Phone: 406-727-0447
Practice Fax:

1699089052 — EMERITUS CORPORATION
Practice Location Address:

1104 6TH AVE N
GREAT FALLS, MT
59401-1583

Practice Phone: 406-727-0447
Practice Fax: 406-727-9965

Directions to “NOVANT MEDICAL GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.