NOVACEL NPI 1790243111

NPI Information

  • NPI: 1790243111
  • Provider Name: NOVACEL
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: NOVACEL
  • Address: 4624 S HOLLADAY BLVD STE 201
    SALT LAKE CITY, UT
    ZIP 84117
  • Phone: (018) 266-3113

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NPI Details

NOVACEL is a foot and ankle surgery podiatrist in Salt Lake City, UT. NOVACEL NPI is 1790243111. The provider is registered as an organization entity type.
The provider Is Doing Business As Novacel.

The provider's business location address is:

4624 S HOLLADAY BLVD STE 201
SALT LAKE CITY, UT
ZIP 84117-168
Phone: (018) 266-3113
Fax: (801) 266-5633

The provider's authorized official is Mariana Anderson-ominski .
The authorized official title is Billing Director and has the following contact phone number (801) 888-1140.

The enumeration date for this NPI number is 3/5/2019 and was last updated on 8/16/2019.

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
1261QP1100XClinic/CenterPodiatricNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes

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
11790243111OTHERUTAHNPI

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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