Provider Demographics
NPI:1437345188
Name:HIGH, NEWTON DANIEL (MPAS PA-C)
Entity Type:Individual
Prefix:MR
First Name:NEWTON
Middle Name:DANIEL
Last Name:HIGH
Suffix:
Gender:M
Credentials:MPAS PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:808 DOLPH CIR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-3950
Mailing Address - Country:US
Mailing Address - Phone:757-546-7834
Mailing Address - Fax:
Practice Address - Street 1:BRANCH MEDICAL CLINIC
Practice Address - Street 2:1721 TAUSSIG BLVD.
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511
Practice Address - Country:US
Practice Address - Phone:757-953-8723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA04869363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical