KEN D NOVAK PA NPI 1780608760

NPI Information

  • NPI: 1780608760
  • Provider Name: KEN D NOVAK, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 800 W. ELDORADO PKWY
    LITTLE ELM, TX
    ZIP 75068
  • Phone: (972) 292-0300

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NPI Details

Ken D Novak, PA is a physician assistant in Little Elm, TX. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Ken D Novak, PA NPI is 1780608760. 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:

800 W. ELDORADO PKWY
LITTLE ELM, TX
ZIP 75068
Phone: (972) 292-0300

The enumeration date for this NPI number is 7/26/2006 and was last updated on 12/26/2013.

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
1363A00000XPhysician AssistantPA02025TEXASYes

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
18J6717MEDICARE PINTEXAS
28D0019MEDICARE ID-TYPE UNSPECIFIEDTEXAS
38C0777MEDICARE ID-TYPE UNSPECIFIEDTEXAS
4182410401MEDICAIDTEXAS
5182410403MEDICAIDTEXAS
6182410406MEDICAIDTEXAS
7182410405MEDICAIDTEXAS
8182410402MEDICAIDTEXAS
98L10157MEDICARE PINTEXAS
10S70248MEDICARE UPINTEXAS
11182410404MEDICAIDTEXAS
128L10158MEDICARE PINTEXAS
138L9589MEDICARE PINTEXAS

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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