MR. MARC JEFFREY NOVOM MD
NPI 1669405742
Psychiatry & Neurology - Neurology in Milwaukee, WI
- Individual
- Male
- Psychiatry & Neurology
- Neurology
About MARC NOVOM
This page provides the complete NPI Profile along with additional information for Marc Novom, a provider established in Milwaukee, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1669405742 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 21059020 (WI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1669405742 Verify this NPI
- Provider Name
- MR. MARC JEFFREY NOVOM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8989 N PORT WASHINGTON ROAD SUITE 122 MILWAUKEE, WI 53217
- Location Phone
- (414) 351-6250
- Location Fax
- (414) 351-6465
- Mailing Address
- 10503 N STRATFORD PLACE MEQUON, WI 53092
- Mailing Phone
- (262) 242-0155
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-09-2006
- Last Update Date
- 07-12-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21059020
- License State
- WI
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 31417 (AZ) |
| 2 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | ME88701 (FL) |
| 3 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 47442 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000002404 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| B55417 | MEDICARE UPIN (02) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669405742, enumerated as an "individual" on July 09, 2006.
The provider is located at 8989 N PORT WASHINGTON ROAD SUITE 122 MILWAUKEE, WI 53217 and the phone number is (414) 351-6250.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
