ROGER W NEWSOM


Address: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Phone: 7574830400

ROGER W NEWSOM (NPI# 1134139975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134139975
Entity Type Individual
Full Name ROGER W NEWSOM
Credential MD
Practice Address 3235 Academy Ave
Suite 200
Portsmouth
VA 23703-3200
Mailing Address 1788 Greensward Quay
Virginia Beach
VA 23454-1141
Practice Telephone 7574830400
Mailing Telephone 7574963982
Enumeration Date 2006-08-08
Last Update Date 2017-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 0101055448 VA Allopathic & Osteopathic Physicians
Y 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
0101055448 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 325053 01

Office Location

Street Address 3235 ACADEMY AVE
SUITE 200
City PORTSMOUTH
State VA
Zip Code 23703-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245238096 Mark A Pavilack Ophthalmology 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 2005-07-13
1346470572 Nancy D Myers Physician Assistant 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 2009-07-22
1245469964 Tidewater Eye Centers Ophthalmology 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 2009-07-02
1871732784 Churchland Family Medicine PC Family Medicine 3235 Academy Ave, Suite 102, Portsmouth, VA 23703-3200 2009-02-17
1235393059 Krunal Manubhai Patel Internal Medicine 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 2008-07-10
1265691141 Kori A Elkins Ophthalmology 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 2008-06-05
1942488564 Digitrace Care Services Inc Durable Medical Equipment & Medical Supplies 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 2008-02-06
1578750584 Karen Diane Kahan Nurse Practitioner 3235 Academy Ave, Suite 305, Portsmouth, VA 23703-3200 2007-10-03
1548466238 Digitrace Care Services Inc Durable Medical Equipment & Medical Supplies 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 2007-06-21
1083731525 Jeffrey Stephen Wolf Colon & Rectal Surgery 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 2007-03-22
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1578072104 Katherine Armstrong Wise Behavior Technician 3120 Verne Ave, Portsmouth, VA 23703 2017-09-27
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1881126019 Anas Elmahdi Specialist 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 2017-03-28
1578003554 Elyse Buttery Nurse Practitioner Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 2017-02-24
1376948349 Charles Douglas Knight Military Health Care Provider Uss Maryland Ssbn 738, Fpo, AA 23703 2014-11-03
1689929382 Positive Connections, Inc Community/Behavioral Health 3823d Meherrin River Reach, Portsmouth, VA 23703 2012-07-18
1225319874 Sanaz Namin Pharmacist 5601 High Street, Porstmouth, VA 23703 2011-09-08
1295029767 Maggie Jackson Dental Hygienist 4000 Coast Guard Blvd., Portsmouth, VA 23703 2011-06-02
1679804892 Amy Kathleenn Gaspar Specialist/Technologist, Other 4113 Pendleton Rd, Portsmouth, VA 23703 2010-01-28
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Taxonomy Information

Taxonomy Code 207WX0200X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Ophthalmic Plastic and Reconstructive Surgery

Taxonomy Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104008226 Nicholas Adam Ramey Ophthalmology 707 S Jefferson St, Roanoke, VA 24016-5100 2007-11-30

Competitor

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City PORTSMOUTH
Zip Code 23703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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