Individual
JON A NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5157
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D36756
MD
207L00000X
Anesthesiology Physician
MD035939
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010261970
—
VA
01
—
103042
KAISER
DC
01
—
1249925
AETNA HMO
DC
01
—
196304
ANTHEM BCBS
VA
05
—
297671403
—
MD
01
—
4273545
AETNA NON HMO
DC
01
—
496357
NCPPO
DC
Enumeration date
07/19/2006
Last updated
09/03/2015
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