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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL RAEDY NOVACK
NPI 1902483811
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since March 26, 2021
300 PASTEUR DR, STANFORD, CA 94305(419) 566-5164 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2026, Apr 5, 2021, Mar 26, 2021 (3 updates tracked since 2021).

About Michael Raedy Novack NPPES

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

MICHAEL RAEDY NOVACK (NPI 1902483811) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1902483811
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL RAEDY NOVACK
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address1323 Esplanade Ave Apt DNew Orleans, LA 70116-1876
Phone(419) 566-5164
Sole ProprietorYes
Enumeration DateMarch 26, 2021
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1902483811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 PASTEUR DR, Stanford, CA 94305
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Other Providers at the Same Location NPPES 20

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

PRISTA CHARUWORN MD
Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Santa Clara County (650) 723-6661
ANDREW CHARLES PICEL M.D
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
MATTHEW A WRIGHT M.D. PH.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. QUAZI ZUBAIR AL-TARIQ M.D.
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
ANGIE DEE MURKINS NP
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. JAMSHID GHAJAR MD PHD
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
SARA BAKHTARY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
YU KUANG LAI MD
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Novack's NPI number?

The NPI number for Michael Novack is 1902483811. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Michael Novack located?

Michael Novack practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (419) 566-5164.

What is Michael Novack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Novack was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.