Provider Demographics
NPI:1700813508
Name:NEWMAN, PHILLIP A (DO)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:A
Last Name:NEWMAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:ONE VANTAGE WAY, SUITE B-240
Mailing Address - Street 2:MIDDLE TENNESSEE EMERGENCY PHYSICIANS, P.C.
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1562
Mailing Address - Country:US
Mailing Address - Phone:615-313-9205
Mailing Address - Fax:615-301-6542
Practice Address - Street 1:1700 MEDICAL CENTER PARKWAY
Practice Address - Street 2:MIDDLE TENNESSEE MEDICAL CENTER
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-217-6900
Practice Address - Fax:615-217-6995
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-06-25
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Provider Licenses
StateLicense IDTaxonomies
TN1309207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3305876Medicaid
TN3139281OtherSTONES RIVER IPA
TN3136073OtherBLUECROSS
KY64028848OtherKY MEDICAID
TN3305876Medicaid
KY64028848OtherKY MEDICAID