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NPI Code Detail

MEDICARE: DENNIS E NEWLAND MD

MEDICARE: DENNIS E NEWLAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician15555WV
2207Q00000XFamily Medicine Physician35.057511OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00368910OTHEROHRAILROAD MEDICARE PIN
4080150817OTHERWVWV RAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821091695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS E NEWLAND MD
Provider Business Mailing Address
First Line : 800 GRAND CENTRAL MALL
Second Line : SUITE 4
City : VIENNA
State : WV
Zip : 26105-4131
Country : US
Telephone Number : 304-485-3300
Fax Number : 304-485-3317
Provider Business Practice Location Address
First Line : 800 GRAND CENTRAL MALL
Second Line : SUITE 4
City : VIENNA
State : WV
Zip : 26105-4131
Country : US
Telephone Number : 304-485-3300
Fax Number : 304-485-3317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/31/2011

Similar Medicare Providers

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Practice Location Address:
800 GRAND CENTRAL MALL , SUITE 4
VIENNA, WV
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Practice Fax: 304-485-3317
1790788545 — JEFFERY T BRAHAM DO
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1568465383 — KELLY C FLUHARTY MD
Practice Location Address:
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VIENNA, WV
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Practice Fax: 304-485-3317
1063415859 — CATHERINE A ADKINS MD
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800 GRAND CENTRAL MALL , SUITE 4
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1922001767 — KIM M STOOKE M.D.
Practice Location Address:
800 GRAND CENTRAL MALL , SUITE 4
VIENNA, WV
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1891798625 — SHARILEDA C VANCE MD
Practice Location Address:
800 GRAND CENTRAL MALL , SUITE 4
VIENNA, WV
26105-4131
Practice Phone: 304-485-3300
Practice Fax: 304-485-3317

Directions to “ DENNIS E NEWLAND MD” Practice Location

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