DR. DIMITRI NOVITZKY MD NPI 1215972526

NPI Information

NPI: 1215972526
Provider Name: DR. DIMITRI NOVITZKY, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
1001 N MACDILL AVE STE B
TAMPA, FL
ZIP 33607
Phone: (813) 675-4849
Get Directions

DR. Dimitri Novitzky, MD is an adult medicine family medicine in Tampa, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Dimitri Novitzky, MD NPI is 1215972526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 N MACDILL AVE STE B
TAMPA, FL
ZIP 33607
Phone: (813) 675-4849

The enumeration date for this NPI number is 6/19/2006 and was last updated on 5/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	ME61367	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	064781100	MEDICAID	FLORIDA
2	1215972526	OTHER		MEDICARE NPI
3	11642	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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