Healthcare Provider Details

I. General information

NPI: 1811673635
Provider Name (Legal Business Name): NEWMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 N CIRCLE DR STE 100
COLORADO SPRINGS CO
80909-1163
US

IV. Provider business mailing address

2960 N CIRCLE DR STE 100
COLORADO SPRINGS CO
80909-1163
US

V. Phone/Fax

Practice location:
  • Phone: 719-741-6113
  • Fax: 719-741-6367
Mailing address:
  • Phone: 719-741-6113
  • Fax: 719-741-6367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MORGAN TEMPEL
Title or Position: CEO
Credential:
Phone: 360-808-9400