Healthcare Provider Details

I. General information

NPI: 1538107305
Provider Name (Legal Business Name): DAVID G NEWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 CURRIER LN
KNOXVILLE TN
37919-8821
US

IV. Provider business mailing address

1408 CURRIER LN
KNOXVILLE TN
37919-8821
US

V. Phone/Fax

Practice location:
  • Phone: 865-692-4141
  • Fax: 865-692-1224
Mailing address:
  • Phone: 865-692-4141
  • Fax: 865-692-1224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number38149
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number20094
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number20094
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: