Provider Demographics
NPI:1154310688
Name:NEWMAN, ADAM T (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:T
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 NACOGDOCHES ST STE 370
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-2444
Mailing Address - Country:US
Mailing Address - Phone:903-541-5396
Mailing Address - Fax:903-541-5490
Practice Address - Street 1:203 NACOGDOCHES ST
Practice Address - Street 2:SUITE 280
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2462
Practice Address - Country:US
Practice Address - Phone:903-541-5390
Practice Address - Fax:903-541-5393
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0135207V00000X
AZ37932207V00000X
IN01059367A207V00000X
VA0101247116207V00000X
MO2021014176207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200171950Medicaid
IN000000570089OtherANTHEM
AZ385840Medicaid
AZ37932OtherAZ MEDICAL BOARD
VAV V5986AMedicare PIN
ING48426Medicare UPIN
VA023180W82Medicare PIN