Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Novak, PA

Individual provider Physician Assistant · NPI 1124564000

Andrew Novak, PA is a Physician Assistant in Gilbert, Arizona. Qualified in 2016, 10 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
10
Licensed in
AZ, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1920 N Higley Rd
Gilbert, AZ 85234-1623
Phone: (805) 436-6004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4332 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 6442 (AZ)

Record details

NPI number1124564000
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESMay 28, 2024
Certification dateJune 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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