Provider Demographics
NPI:1386817666
Name:ROSEMARIE C NEWMAN MD PA
Entity Type:Organization
Organization Name:ROSEMARIE C NEWMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:W
Authorized Official - Last Name:STALLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-845-4694
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-0490
Mailing Address - Country:US
Mailing Address - Phone:919-845-4694
Mailing Address - Fax:919-866-0971
Practice Address - Street 1:10000 FALLS OF NEUSE RD
Practice Address - Street 2:STE 301
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614
Practice Address - Country:US
Practice Address - Phone:919-845-4694
Practice Address - Fax:919-866-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800649207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891156GMedicaid
NC891156GMedicaid
2330295Medicare PIN