Provider Demographics
NPI:1043339575
Name:NEUMANN, DAVID A II (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:NEUMANN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 GAILLARDIA PKWY
Mailing Address - Street 2:STE. 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-1874
Mailing Address - Country:US
Mailing Address - Phone:405-751-4199
Mailing Address - Fax:
Practice Address - Street 1:4811 GAILLARDIA PKWY
Practice Address - Street 2:STE. 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-1874
Practice Address - Country:US
Practice Address - Phone:405-751-4199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28977207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP00437375OtherMEDICARE RAILROAD
MN567605200Medicaid
MNP00437375OtherMEDICARE RAILROAD