=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497750442
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | THOMAS E NEWMAN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2005
-----------------------------------------------------
Last Update Date | 02/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 445 N SILVERBELL RD STE 201
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85745-2686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-623-8475
-----------------------------------------------------
Fax | 520-882-4770
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 445 N SILVERBELL RD STE 201
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85745-2686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-623-8475
-----------------------------------------------------
Fax | 520-882-4770
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 8098
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------