Provider Demographics
NPI:1952372815
Name:NEWTON, CHRISTOPHER JACKSON (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JACKSON
Last Name:NEWTON
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 1:150 E MANNING ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5109
Mailing Address - Country:US
Mailing Address - Phone:401-272-2020
Mailing Address - Fax:401-421-5979
Practice Address - Street 1:150 E MANNING ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5109
Practice Address - Country:US
Practice Address - Phone:401-272-2020
Practice Address - Fax:401-421-5979
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12777207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2658-7OtherBLUE SHIELD - RI
RIAA125662OtherHARVARD PILGRIM
MAJ44025OtherBLUE SHIELD - MASS
RI1952372815OtherNEIGHBORHOOD - RI
RI050493136OtherUNITED HEALTHCARE
RI1952372815OtherNPI #
RI1952372815OtherTUFTS
RI9869424OtherCIGNA
RICN72682Medicaid
RI1952372815OtherBLUE CHIP
RIAA125662OtherHARVARD PILGRIM
RI1952372815OtherBLUE CHIP