Provider Demographics
NPI:1578558060
Name:NEWMAN, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
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:PO BOX 936
Mailing Address - Street 2:EVMS MEDICAL GROUP
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5955
Mailing Address - Fax:757-446-5196
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5955
Practice Address - Fax:757-446-5196
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038527207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA447804OtherANTHEM
VA1578558060Medicaid
VAPAROtherCIGNA
NCB09057Medicare UPIN
VA-002OtherTRICARE/CHAMPUS
NC130VNOtherBCBS NC
VAP01045585Medicare PIN
VAPAROtherMULTIPLAN (EVMS HEALTH SERVICES)
VA1578558060OtherFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
VA1578558060OtherUNITED HEALTHCARE
VAPAROtherVIRGINIA HEALTH NETWORK
VAVV4915AMedicare PIN
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)
VA59695OtherOPTIMA HEALTH
VAPAROtherAETNA
VA1578558060OtherVIRGINIA PREMIER HEALTH PLAN
VAPAROtherCORVEL (EVMS HEALTH SERVICES)
NC89130VNMedicaid