MEDICARE: RONALD A 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
1	2081P0004X	Spinal Cord Injury Medicine Physician	A52308	CA

General Provider Information

NPI Number	:	1679594246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD A NOVAK M.D.

Provider Business Mailing Address
First Line	:	7613 GUADALUPE TRL NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-6503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 SAN PEDRO DR SE
Second Line	:	NMVAHCS (128)
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-5153
Country	:	US
Telephone Number	:	505-265-1711
Fax Number	:	505-256-5704

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1881557536 — ALEXANDRA PENA
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-265-1711
Practice Fax:

1568325157 — IFEOMA CHIEGBOKA
Practice Location Address:

1501 SAN PEDRO DR SE APT 384
ALBUQUERQUE, NM
87108-5153

Practice Phone: 540-354-6838
Practice Fax:

1841012283 — CLAUDIA J DOHERTY
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-281-3327
Practice Fax:

1639810211 — ROBERT WILLIAM REINHART DO
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-265-1711
Practice Fax:

1184587164 — JUNE PHIL JAMES
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 432-232-2337
Practice Fax:

Directions to “ RONALD A NOVAK M.D.” 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.