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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM | 325053 | 01 |
Street Address |
3235 ACADEMY AVE SUITE 200 |
City | PORTSMOUTH |
State | VA |
Zip Code | 23703-3200 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
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 |
Find all providers in zip 23703 |
Taxonomy Code | 207WX0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Ophthalmic Plastic and Reconstructive Surgery |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104008226 | Nicholas Adam Ramey | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2007-11-30 |
City | PORTSMOUTH |
Zip Code | 23703 |
Please comment or provide details below to improve the information on ROGER W NEWSOM.
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.