Provider Demographics
NPI:1760451371
Name:NEWCOMER, JOHN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:NEWCOMER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2 S CASCADE AVE
Mailing Address - Street 2:STE 140
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1624
Mailing Address - Country:US
Mailing Address - Phone:719-538-2900
Mailing Address - Fax:719-538-2987
Practice Address - Street 1:1625 MEDICAL CENTER PT
Practice Address - Street 2:260
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8731
Practice Address - Country:US
Practice Address - Phone:719-227-7800
Practice Address - Fax:719-578-7755
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2016-04-26
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Provider Licenses
StateLicense IDTaxonomies
CO27358207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01273580Medicaid
CO387977ZL1POtherMEDICARE ID
CO01273580Medicaid