Individual ProviderTodd Evan NovickRegistered NurseNursing Service ProvidersPractice Address4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319(602) 263-1200PECOS EnrollmentBased on the most recent information from CMS, provider Todd Evan Novick does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 7:33 AM.Profile DetailsProvider ID1184983512Provider TypeIndividualFull NameNovick, Todd EvanGenderMaleSole ProprietorNoEnumeration Date5/4/2012Last Updated5/4/2012Contact InformationPractice LocationPractice Address4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319Phone(602) 263-1200Fax(602) 200-5383Mailing LocationMailing AddressPhoenix Indian Medical Ctr, P.O. Box 31001-0698, Pasadena, CA 91110-0698Phone(602) 263-1200Fax(602) 200-5383Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN126028Arizona