DR. WALTER M NOVIKOFF DO
NPI 1801974225
Family Medicine in Maryville, TN

Q: What is Walter Novikoff's NPI number?

The NPI number for Walter Novikoff is 1801974225. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Walter Novikoff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Novikoff was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2006

1503 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 980-5290(865) 980-5295 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2019, Dec 1, 2017, Jan 31, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Walter M Novikoff Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER M NOVIKOFF DO (NPI 1801974225) is an individual family medicine provider in Maryville, Tennessee, licensed in Tennessee (1562) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1801974225

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WALTER M NOVIKOFFCredential: DO

Location Address1503 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5131

Mailing Address103 W Broadway AveMaryville, TN 37801-4703 · (865) 273-1752 · Fax (865) 273-1755

Phone(865) 980-5290

Fax(865) 980-5295

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateApril 19, 20194 updates tracked since enumeration

✔ NPI 1801974225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 1562

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1503 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

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Other Identifiers 1

Medicaid3907948TN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY MERLIN MASON M.D.

Obstetrics & Gynecology