DR. JERRY GLYNN NEWMAN JR. (NPI# 1962401760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962401760 |
| Entity Type | Individual |
| Full Name | DR. JERRY GLYNN NEWMAN JR. |
| Credential | MD |
| Practice Address |
2150 N Ocoee St Cleveland TN 37311-3919 |
| Practice Telephone | 4236140122 |
| Practice Fax Number | 4234788235 |
| Mailing Telephone | 4236140122 |
| Mailing Fax Number | 4234788235 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
40005 | TN | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
40005 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134413347 | Jerry Lee Newman | Pharmacist | 5580 Northwest Hwy, Crystal Lake, IL 60014-8016 | 2011-06-06 |
| 1306026463 | Jerry Gene Newman | Pharmacist | 57 Church St, Birmingham, AL 35213-3701 | 2007-11-06 |
| 1881755494 | Jerry L Newman | Physician Assistant | 234 Medical Circle, Morehead, KY 40351-1181 | 2006-12-13 |
| Street Address |
2150 N OCOEE ST |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073815999 | Wendy D Eaton | Orthotic Fitter | 2150 N Ocoee St, Cleveland, TN 37311-3936 | 2010-11-29 |
| 1083886295 | Lucas Boyd Queen | Counselor | 2150 N Ocoee St, Suite One, Cleveland, TN 37311-3936 | 2008-03-27 |
| 1720250020 | Patricia Elizabeth Conn | Counselor | 2150 N Ocoee St, Suite 1, Cleveland, TN 37311-3936 | 2008-03-26 |
| 1932371234 | Kenneth Allen Nope | Counselor | 2150 N Ocoee St, Suite1, Cleveland, TN 37311-3936 | 2008-03-26 |
| 1356527238 | Bradley Cleveland Services Inc. | Day Training, Developmentally Disabled Services | 2150 N Ocoee St, Suite 1, Cleveland, TN 37311-3936 | 2008-01-10 |
| 1578549531 | Vijai P. Sharma | Psychologist | 2150 N Ocoee St, Suite 1, Cleveland, TN 37311-3919 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073653309 | Vicente A Luna | Psychiatry & Neurology | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2007-02-07 |
| 1396847026 | Susan J Hatters-friedman | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-09-02 |
| 1851363824 | Philipp Dines | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173790 | Kelley Denise Walker | Psychiatry & Neurology | 10241 Kingston Pike, Suite 1 and 2, Knoxville, TN 37922-3240 | 2005-09-07 |
| 1508084864 | Prameet Jagdish Bhushan | Psychiatry & Neurology | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2007-04-23 |
| 1942345376 | I. Devi Deean | Psychiatry & Neurology | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 | 2007-02-21 |
| 1770628018 | Victor J. Schueler | Psychiatry & Neurology | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 | 2007-02-21 |
| 1003960196 | Bradley William Freeman | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3133 | 2007-01-23 |
| 1598855934 | Keith Allen Caruso | Psychiatry & Neurology | 9005 Overlook Blvd, Brentwood, TN 37027-8612 | 2006-10-14 |
| 1487750667 | Christopher Lee Lange | Psychiatry & Neurology | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2006-09-15 |
| 1497868319 | Madhusudhan Mudiam | Psychiatry & Neurology | 3400 Lebanon Rd, Alvin C York Vamc, Psychiatry Service, Murfreesboro, TN 37129-1237 | 2006-08-16 |
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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.