Individual
STEVEN R NOVOTNY
Active
Individual
STEVEN R NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
23499
WV
207XS0106X
Orthopaedic Hand Surgery Physician
01045773A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
23499
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193876
ANTHEM PROVIDER NUMBER
IN
01
—
10825677
CAQH NUMBER
IN
05
—
200119480
—
IN
05
—
2989057
—
OH
05
—
3810014348
—
WV
05
—
7100098070
—
KY
01
—
9397344
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
11/18/2021
Update your record
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