MR. MICHAEL DOUGLAS NEWMAN


Address: Clark Health Clinic, Womack Army Medical Center, Fort Bragg, NC 28310-0001
Phone: 9109079727

MR. MICHAEL DOUGLAS NEWMAN (NPI# 1588625461) 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) 1588625461
Entity Type Individual
Full Name MR. MICHAEL DOUGLAS NEWMAN
Other Name MR. MICHAEL DOUGLAS NEWMAN
Credential PA-C
Practice Address Clark Health Clinic
Womack Army Medical Center
Fort Bragg
NC 28310-0001
Mailing Address 651 Sunset Lake Rd
Lumber Bridge
NC 28357-8980
Practice Telephone 9109079727
Mailing Telephone 9108756216
Enumeration Date 2006-03-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
NCCPA 1001069 Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NATIONAL CERTIFICATION NCCPA 1001069 01

Other Providers MICHAEL NEWMAN

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1932727500 Michael Newman Physical Therapy Assistant 136 Ashton Village Dr Apt 201, Westerville, OH 43082-7540 2020-07-10
1194066530 Michael Wayne Newman Jr. Military Health Care Provider 19703 Lockwood Rd, Manor, TX 78653-4980 2013-03-11
1669764221 Michael Alan Newman Internal Medicine One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 2011-05-13
1437311065 Michael D Newman Social Worker 2036 Canterbury Dr, Las Vegas, NV 89119-6162 2008-06-25
1962622605 Michael Newman Specialist 1777 N Bellflower Blvd Ste 105, Long Beach, CA 90815-4019 2007-04-26
1619091121 Michael Evan Newman Marriage & Family Therapist 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 2007-03-19
1982785291 Michael David Newman Pharmacist 1150 Us Highway 41 Nw, Suite 13, Jasper, FL 32052-5888 2006-10-17
1215029962 Michael Paul Newman Chiropractor 9420 Sw 77 Ave, Suite 100, Miami, FL 33156-7988 2006-09-29
1447342415 Michael Newman Chiropractor 1196 South De Anza Blvd, San Jose, CA 95129-3632 2006-09-28
1720188774 Michael J Newman Dentist 103 E Nevada, Seymour, TX 76380 2006-09-22

Office Location

Street Address CLARK HEALTH CLINIC
WOMACK ARMY MEDICAL CENTER
City FORT BRAGG
State NC
Zip Code 28310-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598945826 Susan M. Edwards Chiropractor Clark Health Clinic, Bldg 5-4257 Bastogne Ext., Fort Bragg, NC 28310-0001 2007-11-03
1003976572 Sean K Lee Family Medicine Clark Health Clinic, Fort Bragg, NC 28310-0001 2006-12-12
1457376667 Joan Katherine Riordan Nurse Practitioner Clark Health Clinic, Bldg 5-4257 Bastogne Extension, Fort Bragg, NC 28310-0001 2006-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
Find all providers in zip 28310

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316375421 Stephen Witte Physician Assistant Gruber Rd Bldg C-1722, Fort Bragg, NC 28310-0001 2013-10-29
1619253523 Kurt Kresta Physician Assistant 2817 Rielly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2011-10-25
1265740674 Roger Leon Harrison Physician Assistant 2817 Reilly Road Mxcx-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2010-09-20
1255651063 Pamela R Koehler Physician Assistant 721a River Dr, Fort Bragg, CA 95437-5402 2010-06-03
1598891517 Jeffrey Alan Weiss Physician Assistant Womack Army Hospital, Fort Bragg, NC 28304-0000 2007-02-26
1942386107 Maureen Marnell Sevilla Physician Assistant Joel Health Clinic Src, Womack Army Medcen, Fort Bragg, NC 28310-0001 2006-10-31
1679660518 Kane D Morgan Physician Assistant Reilly Rd Bldg 4-2817, Womack Army Medical Center, Fort Bragg, NC 28310-0001 2006-10-10
1609983360 Wilda Ann Mccain Physician Assistant Womack Army Medical Center Physical Exams, Reilly Rd, Fort Bragg, NC 28310-0001 2006-08-25
1235171869 Sherry Lynn Womack Physician Assistant M4861 Logistics Ave, Fort Bragg, NC 28310-0001 2006-06-11
1760443071 David W. Myers Physician Assistant Bldg 5-4257 Bastogne Street Extension, Fort Bragg, NC 28310-0001 2006-03-29
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 28310

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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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