MEDICARE: DR. BARON B NEWTON JR. M.D.

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
1	174400000X	Specialist	06323R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	010017247	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06323R	OTHER	LA	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1700509	OTHER	LA	UNITED HEALTHCARE
5	1816901	OTHER	LA	FIRST HEALTH
6	190201	OTHER	LA	HUMANA

General Provider Information

NPI Number	:	1881654895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARON B NEWTON JR. M.D.

Provider Business Mailing Address
First Line	:	1920 W SALE RD
Second Line	:	STE 7
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-2400
Country	:	US
Telephone Number	:	337-436-5233
Fax Number	:	337-436-5234

Provider Business Practice Location Address
First Line	:	1920 W SALE RD
Second Line	:	STE 7
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-2400
Country	:	US
Telephone Number	:	337-436-5233
Fax Number	:	337-436-5234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	09/05/2012

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Directions to “ DR. BARON B NEWTON JR. M.D.” Practice Location

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