DR. SAMUEL S NEWMAN (NPI# 1841265519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841265519 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL S NEWMAN |
| Credential | M.D. |
| Practice Address |
20 Medical Village Dr Edgewood KY 41017 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593441600 |
| Practice Fax Number | 8593440091 |
| Mailing Telephone | 8593441600 |
| Mailing Fax Number | 8593440091 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 38079 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
38079 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | SES PHYS SERV KY MCR PTAN | 09454052 | 01 |
| KY | 64026339 | 05 | |
| RAILROAD MEDICARE | P00024477 | 01 | |
| KY | RAILROAD MEDICARE | P00024477 | 01 |
| IN | 200446010 | 05 | |
| OH | 2475254 | 05 | |
| KY | 7100056850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124145545 | Samuel A Newman | Marriage & Family Therapist | 2222 Martin Ste 200, Irvine, CA 92612-1406 | 2007-03-22 |
| 1093359580 | Samuel Paul Newman | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-10-29 |
| 1720637838 | Samuel Newman | Social Worker | 42-77 65th Place, Woodside, NY 11377 | 2019-09-11 |
| 1962909044 | Samuel Newman | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-04-06 |
| 1295137347 | Samuel Newman | Case Manager/Care Coordinator | 526 S San Pedro St, Los Angeles, CA 90013-2102 | 2014-09-19 |
| Street Address |
20 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295243 | Paul Allen Jacobs | Obstetrics & Gynecology | 20 Medical Village Dr, Ste 302, Edgewood, KY 41017-5402 | 2005-06-14 |
| 1043821085 | David Thomas Tackett | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-08-13 |
| 1245866888 | Annalee Fitzpatrick | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-03-16 |
| 1972137313 | Thomas Gravely | Pharmacist | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-02-25 |
| 1205487071 | Amanda M Hofmeyer | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2019-09-24 |
| 1528535804 | Heidi Ann Ducker | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2018-10-25 |
| 1316433014 | Tara Nagaraj | Pharmacist | 20 Medical Village Dr, Edgewood, KY 41017 | 2018-07-05 |
| 1033628268 | Jennifer Teresa Sprague | Physician Assistant | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2017-09-20 |
| 1235658857 | Eric Joseph Faris | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017 | 2017-09-14 |
| 1356876940 | Jennifer Vaden | Registered Nurse | 20 Medical Village Dr, Suite 301, Edgewood, KY 41017-5401 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659489847 | Cecilio T Camacho | Surgery | 1012 Edgewood Road, Edgewood, MD 21040 | 2006-08-28 |
| 1710982517 | Michael Keith Davenport | Surgery | 20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 | 2005-06-17 |
| 1356752737 | Zachary Glenn | Surgery | 20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 | 2014-05-19 |
| 1184986556 | Anthony England | Surgery | 20 Medical Village Dr, Edgewood, KY 41017 | 2012-06-12 |
| 1407131907 | Vail M Brennan | Surgery | 20 Medical Village Dr, Edgewood, KY 41017 | 2011-10-15 |
| 1124355219 | George E. Miller | Surgery | 20 Medical Village Dr, Suite 338, Edgewood, KY 41017-5401 | 2009-11-10 |
| 1093947293 | Leonardo Anthony Geraci | Surgery | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2009-08-20 |
| 1598918872 | Roberto M De Carvalho | Surgery | 20 Medical Village Dr, Suite 338, Edgewood, KY 41017-5401 | 2008-10-30 |
| 1225293418 | Mario Castillo-sang | Surgery | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2008-07-28 |
| 1710195060 | Noreen Khalid Durrani | Surgery | 20 Medical Village Dr, Ste 132, Edgewood, KY 41017 | 2007-05-18 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.