Healthcare Provider Details

I. General information

NPI: 1013361054
Provider Name (Legal Business Name): PAUL NEWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 105
LARGO MD
20774-3703
US

IV. Provider business mailing address

8609 WESTWOOD CENTER DR STE 110
TYSONS VA
22182-7525
US

V. Phone/Fax

Practice location:
  • Phone: 202-220-8929
  • Fax: 833-972-6003
Mailing address:
  • Phone: 301-446-2513
  • Fax: 380-390-5398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberMD047239
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberD0087782
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0101265986
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: