MEDICARE: MR. STEVEN WAYNE NEWSOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	02821	MD
2	237700000X	Hearing Instrument Specialist	7479	CA
3	237700000X	Hearing Instrument Specialist	O3-0000255	DE
4	237700000X	Hearing Instrument Specialist	AS5466	FL

General Provider Information

NPI Number	:	1952535189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN WAYNE NEWSOM

Provider Business Mailing Address
First Line	:	215 SHUMAN BLVD STE 401
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8123
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	630-303-5385

Provider Business Practice Location Address
First Line	:	861 W BAY DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33770-3221
Country	:	US
Telephone Number	:	727-518-1111
Fax Number	:	727-518-1110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2009
Last Update Date	:	08/14/2019

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Directions to “ MR. STEVEN WAYNE NEWSOM ” Practice Location

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