DR. RICHARD WILLIAM NEWCOMB (NPI# 1912093295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912093295 |
Entity Type | Individual |
Full Name | DR. RICHARD WILLIAM NEWCOMB |
Credential | MD |
Practice Address |
29 Beach Ln Portage IN 46368-1056 |
Practice Telephone | 2197621420 |
Practice Fax Number | 2197621420 |
Mailing Telephone | 2197621420 |
Mailing Fax Number | 2197621420 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
01027697A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
US DEPT JUSTICE | AN5923241 | 01 | |
IN | HEALTH PROFESSIONS BUREAU | 01027697A | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396885794 | Richard Scott Newcomb | Optometrist | 11710 Main St Suite 2, Roscoe, IL 61073 | 2007-02-07 |
1841309713 | Richard Lynn Newcomb | Optometrist | 1411 N Jefferson St, Carrollton, MO 64633-1945 | 2006-08-30 |
1902326143 | Richard A Newcomb | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2017-06-20 |
1437178423 | Richard Alan Newcomb | Dentist | 87 Clinton St, Concord, NH 03301-2262 | 2006-07-19 |
1659347458 | Richard D Newcomb | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-23 |
Street Address |
29 BEACH LN |
City | PORTAGE |
State | IN |
Zip Code | 46368-1056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
Find all providers in zip 46368 |
Taxonomy Code | 2080P0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Allergy/Immunology |
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578978938 | Nurcicek Padem | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2014-06-24 |
1356605299 | Jay Jun-hong Jin | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202 | 2012-06-26 |
1629260310 | Chitra Rao Natalie | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2007-08-16 |
1730394206 | Kirsten Marie Kloepfer | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2007-05-10 |
1770593352 | Girish V Vitalpur | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2006-08-08 |
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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.