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DR. NATHAN MICHAEL NOVOTNY M.D. NPI 1730346180


NPI Information

NPI: 1730346180
Provider Name: DR. NATHAN MICHAEL NOVOTNY, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES

PECOS Registration: Yes

Address:
3535 W 13 MILE RD STE 307
ROYAL OAK, MI
ZIP 48073
Phone: (248) 551-2400
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DR. Nathan Michael Novotny, M.D. is a pediatric surgery surgery in Royal Oak, MI with 20 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Nathan Michael Novotny, M.D. NPI is 1730346180. 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:

3535 W 13 MILE RD STE 307
ROYAL OAK, MI
ZIP 48073-770
Phone: (248) 551-2400
Fax: (248) 551-6556

The NPI 1730346180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 11/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery01062578AINDIANANo
22086S0120XSurgeryPediatric Surgery01062578AINDIANANo
32086S0120XSurgeryPediatric Surgery47504TENNESSEENo
42086S0120XSurgeryPediatric Surgery4301104010MICHIGANYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.