Provider Demographics
NPI:1407896723
Name:NEWMAN, CHRISTOPHER ERNEST (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ERNEST
Last Name:NEWMAN
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 1:100 E NORTHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1310
Mailing Address - Country:US
Mailing Address - Phone:336-230-2434
Mailing Address - Fax:336-230-1540
Practice Address - Street 1:100 E NORTHWOOD ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1310
Practice Address - Country:US
Practice Address - Phone:336-230-2434
Practice Address - Fax:336-230-1540
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC311343207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC62223OtherBCBS
NC8962223Medicaid
NC2150749Medicare ID - Type UnspecifiedMEDICARE
NC8962223Medicaid