RUSSELL A NOVAK MD NPI 1558352211

NPI Information

  • NPI: 1558352211
  • Provider Name: RUSSELL A NOVAK, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • Address: 200 THEDA CLARK MEDICAL PLAZA
    SUITE 480
    NEENAH, WI
    ZIP 54956
  • Phone: (920) 729-0608

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NPI Details

Russell A Novak, MD is a pulmonary disease internal medicine in Neenah, WI. The provider is 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 A Novak, MD NPI is 1558352211. 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:

200 THEDA CLARK MEDICAL PLAZA
SUITE 480
NEENAH, WI
ZIP 54956
Phone: (920) 729-0608
Fax: (920) 729-2902

The enumeration date for this NPI number is 11/2/2005 and was last updated on 1/30/2018.

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
1207R00000XInternal Medicine48910WISCONSINNo
2207RC0200XInternal MedicineCritical Care Medicine48910WISCONSINNo
3207RP1001XInternal MedicinePulmonary Disease48910WISCONSINYes
4207RP1001XInternal MedicinePulmonary Disease197207NEW YORKNo

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
134826700MEDICAIDWISCONSIN

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: 11/21/2025

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