Provider Demographics
NPI:1932294246
Name:NEWTON, JASON SCOTT (DPM)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:SCOTT
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26005
Mailing Address - Country:US
Mailing Address - Phone:304-234-1902
Mailing Address - Fax:304-234-1927
Practice Address - Street 1:58 16TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26005
Practice Address - Country:US
Practice Address - Phone:304-234-1902
Practice Address - Fax:304-234-1927
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00316213E00000X, 213ES0131X
OH36002932N213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Not Answered213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0242384Medicaid
WV0099979000Medicaid
WV0099979000Medicaid
OH0242384Medicaid