Healthcare Provider Details

I. General information

NPI: 1154124675
Provider Name (Legal Business Name): JOHN THOMAS NEWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE STREET ANESTHESIOLOGY N202
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

800 ROSE STREET ANESTHESIOLOGY N202
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5956
  • Fax: 859-323-1080
Mailing address:
  • Phone: 859-323-5956
  • Fax: 859-323-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberR7366
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: