Provider Demographics
NPI:1568464360
Name:NEWMAN, NIGEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:NIGEL
Middle Name:K
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 1:3921 E MARKET ST
Mailing Address - Street 2:BUILDING III SECOND FLOOR
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-4711
Mailing Address - Country:US
Mailing Address - Phone:330-856-3300
Mailing Address - Fax:330-856-4539
Practice Address - Street 1:3921 E MARKET ST
Practice Address - Street 2:BUILDING III SECOND FLOOR
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-4711
Practice Address - Country:US
Practice Address - Phone:330-856-3300
Practice Address - Fax:330-856-4539
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35030363N174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0286515Medicaid
OHA74467Medicare UPIN
OHNE0390222Medicare ID - Type Unspecified