DR. DONNIE NOVAK LLC (NPI# 1396051371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396051371 |
| Entity Type | Organization |
| Organization Name | DR. DONNIE NOVAK LLC |
| Practice Address | 1412 Jefferson Road Jefferson PA 15344 |
| Practice Telephone | 7248833733 |
| Practice Fax Number | 7248834766 |
| Mailing Address | Po Box 211 Jefferson PA 15344-0211 |
| Mailing Telephone | 7248833733 |
| Mailing Fax Number | 7248834766 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Authorized Official Telephone | 7249847839 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 193400000X SINGLE SPECIALTY GROUP | DC010188 | PA | Chiropractic Providers |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 1770768632 | WV | MOUNTAIN STATE BLUE CROSS BLUE SHIELD | Other |
| 3810012422 | WV | MEDICAID | |
| 4841943 | CIGNA | Other | |
| 720936 62Z642 | WV | ACN GROUP | Other |
| 9211153 | WV | AETNA | Other |
| WV878 | WV | HEALTH PLAN OF WEST VIRGINIA | Other |
| Street Address | 1412 JEFFERSON ROAD |
| City | JEFFERSON |
| State | PA |
| Zip Code | 15344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770768632 | Donald I Novak | Chiropractor | 1412 Jefferson Road, Jefferson, PA 15344 | 2008-01-09 |
| 1841351152 | L. Randy Pettit | Chiropractor | 1412 Jefferson Road, Jefferson, PA 15344 | 2006-12-12 |
| 1699834093 | Pettit Chiropractic Health Center Inc. · Jefferson Chiropractic | Chiropractor | 1412 Jefferson Road, Jefferson, PA 15344 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801339171 | Rachael Moon | Specialist/Technologist · Athletic Trainer | 1351 Jefferson Rd, Jefferson, PA 15344 | 2016-11-18 |
| 1457303422 | Jefferson-Morgan School District | Local Education Agency (LEA) | 1351 Jefferson Rd, Jefferson, PA 15344-4100 | 2006-05-17 |
| 1114910452 | Jefferson Volunteer Fire Co | Ambulance · Land Transport | 1483 Jefferson Rd, Jefferson, PA 15344-4154 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780263426 | Sean T Anderson | Social Worker · Clinical | 729 Pecan Grove Ln, Jefferson, LA 70121-1130 | 2021-04-07 |
| 1801475710 | Magnolia Community Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 753 St. George Ave, Jefferson, LA 70121 | 2021-04-07 |
| 1841877958 | Magnolia Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 749 St. George Ave, Jefferson, LA 70121 | 2021-03-25 |
| 1184209900 | Ochsner Kidney Care LLC · Ochsner Kidney Care - Jefferson Highway | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 320 Maine Street, Jefferson, LA 70121 | 2021-03-12 |
| 1689268781 | Shawnea L Estrella | Home Health Aide | 641 Augusta Rd, Jefferson, ME 04348-4039 | 2021-03-01 |
| 1336731876 | Nina Mallory | Counselor · Professional | 410 N Wilson Ave, Jefferson, WI 53549-1358 | 2021-02-05 |
| 1205428018 | Cynthia J Rand | Social Worker · Clinical | 1657 Wachusett St, Jefferson, MA 01522-1301 | 2021-02-04 |
| 1003407685 | Nicholas Paul Reyes | Specialist/Technologist · Athletic Trainer | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2021-01-27 |
| 1831789478 | Devastasha Beaver | Lactation Consultant, Non-RN | 15 E Erie St, Jefferson, OH 44047-1410 | 2021-01-18 |
| 1316537954 | Khanh Van Brown | Pharmacist | 835 Low Falls Ct, Jefferson, GA 30549-7943 | 2021-01-18 |
| Find all providers in JEFFERSON | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248375 | Leah Renwanz | 1407 N Elm St, Jefferson, IA 50129-1012 | 2017-11-10 | |
| 1245760180 | Greater Life Chiropractic | 101 N Chestnut St, Jefferson, IA 50129-2101 | 2017-06-14 | |
| 1013320860 | Branden James Miller | 206 N Grimmell Rd, Jefferson, IA 50129-1732 | 2014-06-10 | |
| 1073782769 | Jeffrey K. Baldwin · Baldwin Chiropractic Center | 203 Long St, Suite B, Jefferson, NC 28640-9518 | 2008-02-27 | |
| 1487841896 | Todjide Satorey Evans | 22 S Public Sq, Jefferson, GA 30549-1502 | 2007-09-29 | |
| 1124210406 | Daniel A. Lander | 583 Augusta Rd, Jefferson, ME 04348-4038 | 2007-08-10 | |
| 1669689923 | Patrick Lynn Hart | 277 North Second Street, Jefferson, OR 97352-0621 | 2007-05-17 | |
| 1518099852 | Gregory M. Ray | 24 W Pine St, Jefferson, OH 44047-1022 | 2007-03-12 | |
| 1932239597 | Creative Chiropractic Health Clinic | 1872 Washington St, Jefferson, GA 30549-2668 | 2007-03-06 | |
| 1477608602 | Norma Lee Tierney | 2441 Rt 46 South, Jefferson, OH 44047-8509 | 2007-01-25 | |
| Find all providers in JEFFERSON | ||||
| City | JEFFERSON |
| Zip Code | 15344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366984379 | Donnie Gayfield · Donnie Gayfield | Social Worker | 842 California Street, San Francisco, CA 94609 | 2016-11-08 |
| 1215916473 | Kim Novak · Kimberly Novak Herrmann | Social Worker · Clinical | 26 Lakeview St, East Hampton, CT 06424-1200 | 2006-01-15 |
| 1790125573 | Catherine Novak · Kasia Novak | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2013-06-26 |
| 1730384348 | Novak & Novak Pa | Specialist | 994 Airport Rd, Destin, FL 32541-2820 | 2007-06-15 |
| 1013125251 | Rosalyn Novak-Houston · Roz Novak-Houston | Social Worker · Clinical | 163 Water St, Marshall Newell Boathouse, Exeter, NH 03833-2424 | 2007-05-20 |
| 1609858000 | Jennifer Novak Hawkins · Jennifer Michelle Novak | Physical Therapist | 3809 Plaza Dr, 112, Oceanside, CA 92056-4625 | 2005-11-19 |
| 1952344327 | Maureen A Novak · Maureen Anne Novak | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-14 |
| 1477758381 | Lorena Novak Bull · Lorena Novak | Dietitian, Registered | 15681 Winters Ln, Riverside, CA 92504-9503 | 2007-06-19 |
| 1750701736 | Elisabeth G Neal-Novak · Elisabeth G Novak | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965 | 2014-04-17 |
| 1649287798 | Donald A Novak · Donald Allan Novak | Pediatrics · Pediatric Gastroenterology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-08-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.