Provider Demographics
NPI:1891940904
Name:NEWPORT, JOHN-PAUL LAMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN-PAUL
Middle Name:LAMAR
Last Name:NEWPORT
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 1:2001 LAUREL AVE STE 502
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1876
Mailing Address - Country:US
Mailing Address - Phone:865-331-9000
Mailing Address - Fax:865-374-2010
Practice Address - Street 1:2001 LAUREL AVE STE 502
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1876
Practice Address - Country:US
Practice Address - Phone:865-331-9000
Practice Address - Fax:865-374-2010
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD46366208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1520350Medicaid
4270836OtherBC-BS TN
TN1891940904Medicare PIN