Provider Demographics
NPI:1235126459
Name:NEWMAN, JOSEPH T (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:2600 UNIVERSITY AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1462
Mailing Address - Country:US
Mailing Address - Phone:515-223-6214
Mailing Address - Fax:515-440-3776
Practice Address - Street 1:2700 UNIVERSITY AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1451
Practice Address - Country:US
Practice Address - Phone:515-223-6214
Practice Address - Fax:515-440-3776
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA532213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA42147412001OtherJOHN DEERE
IA1235126459OtherCIGNA
IA2081513Medicaid
IA480025628OtherBCBS
IA8081OtherMIDLAND'S CHOICE
IA1235126459OtherCIGNA
IA8081OtherMIDLAND'S CHOICE
IA42147412001OtherJOHN DEERE
IA480025628Medicare PIN