Mark W Newman Do

LBN: Tidewater Pain Management Pc
Mark W Newman Do is an health care organization with primary practice located at 4125 Ironbound Road Suite 101, Williamsburg VA 23188-2631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Tidewater Pain Management Pc can be contacted via phone (757) 258-2561, or through Newman, Mark Wesley via phone (757) 258-2561.

Contact Information

Primary practice address
4125 Ironbound Road Suite 101 Williamsburg VA 23188-2631
Fax: (757) 258-5936
Website:
Authorized official contact:
Name: Newman, Mark Wesley Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 0102037017 Virginia

Profile Details

NPI number 1871558270
LBN Legal business name Tidewater Pain Management Pc
DBA Doing business as Mark W Newman Do
Authorized official Newman, Mark Wesley Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871558270 NPPES
Virginia Other 322590 ANTHEM BCBS

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