Provider Demographics
NPI:1245237924
Name:NEYMAN, GREGORY P (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:P
Last Name:NEYMAN
Suffix:
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 1:498 N HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:52361-9695
Mailing Address - Country:US
Mailing Address - Phone:319-668-6789
Mailing Address - Fax:319-668-6791
Practice Address - Street 1:498 N HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:IA
Practice Address - Zip Code:52361-9695
Practice Address - Country:US
Practice Address - Phone:319-668-6789
Practice Address - Fax:319-668-6791
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35699207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0414615Medicaid
IAI12978Medicare ID - Type UnspecifiedIOWA MEDICVARE ID#
IA0414615Medicaid