{"npi":"1205155199","type":"NPI-2","status":"active","name":{"display":"Glenn J. Novak D O INC","other":[],"organization_name":"GLENN J. NOVAK D O INC","authorised_official":"Glenn Novak"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"OH","license":"03058"}]},"addresses":[{"purpose":"LOCATION","street_1":"51 WESTCHESTER DR","city":"YOUNGSTOWN","state":"OH","postal_code":"445153902","country_code":"US","phone":"3307991718","fax":"3307998328"},{"purpose":"MAILING","street_1":"51 WESTCHESTER DR","city":"YOUNGSTOWN","state":"OH","postal_code":"445153902","country_code":"US","phone":"3307991718","fax":"3307998328"}],"license":{"state":"OH","number":"03058"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0766434","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100526000137","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"4082743323"}]},"enumeration_date":"2010-05-18","last_updated":"2010-05-24","_meta":{"source":"NPPES","snapshot_date":"2010-05-24","doc_url":"https://findmynpi.com/api"}}