Healthcare Provider Details

I. General information

NPI: 1194975409
Provider Name (Legal Business Name): NEWMAN, M.D. PLASTIC SURGERY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E 9TH ST
MOUNTAIN HOME AR
72653-4704
US

IV. Provider business mailing address

130 E 9TH ST
MOUNTAIN HOME AR
72653-4704
US

V. Phone/Fax

Practice location:
  • Phone: 870-425-6398
  • Fax: 870-425-6402
Mailing address:
  • Phone: 870-425-6398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ADAM G. NEWMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 879-425-6398