RUSSELL A. NOVAK MD – NPI #1558352211
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

RUSSELL NOVAK is a physician located in NEENAH, WI. NPPES has assigned the NPI number 1558352211 to RUSSELL NOVAK on November 02, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 8 years ago on Jan 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSSELL NOVAK below.

NPI Profile for
RUSSELL A. NOVAK

NPI Number
1558352211
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUSSELL A. NOVAK
Credentials
MD
Primary location
200 THEDA CLARK MEDICAL PLAZA
SUITE 480
NEENAH, WI 54956
Phone: (920) 729-0608 Fax: (920) 729-2902
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for RUSSELL NOVAK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI34826700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
NY 197207
207RC0200X
- Internal Medicine / Critical Care Medicine
WI 48910
207R00000X
- Internal Medicine
WI 48910

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.