Provider Demographics
NPI:1538107305
Name:NEWMAN, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
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 1:1408 CURRIER LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-8821
Mailing Address - Country:US
Mailing Address - Phone:865-692-4141
Mailing Address - Fax:865-692-1224
Practice Address - Street 1:1408 CURRIER LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-8821
Practice Address - Country:US
Practice Address - Phone:865-692-4141
Practice Address - Fax:865-692-1224
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38149207L00000X
TN20094208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I055202Medicare UPIN
NC2036760Medicare ID - Type Unspecified
E61538Medicare UPIN