Dr Nathan Michael Novotny, MD | |
3535 W 13 Mile Rd Ste 307, Royal Oak, MI 48073-6770 | |
(248) 551-2400 | |
(248) 551-6556 |
Full Name | Dr Nathan Michael Novotny |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 3535 W 13 Mile Rd Ste 307, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730346180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 4301104010 (Michigan) | Primary |
Entity Name | William Beaumont Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Dr Nathan Michael Novotny, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Dr Nathan Michael Novotny, MD 3535 W 13 Mile Rd Ste 307, Royal Oak, MI 48073-6770 Ph: (248) 551-2400 |
Begum Akay, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 307, Royal Oak, MI 48073 Phone: 248-551-2400 Fax: 248-551-6556 | |
Wesley Richard Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-2800 Fax: 248-898-2898 | |
Dr. Samantha Denae Kraemer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 517-474-1989 | |
Sayee Hardas Kiran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd Ste Bcc, Royal Oak, MI 48073 Phone: 248-551-3300 Fax: 248-551-3370 | |
Sean Elliot Masters, MD Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-2673 | |
Mohsen Bannazadeh, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Jason Kimball Shellnut, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1121 Crooks Rd, Royal Oak, MI 48067 Phone: 248-541-8554 Fax: 248-541-1791 |