Individual
DR. MICHAEL THORNTON NEWCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5310
(859) 258-6123
Mailing address
350 ELAINE DR, SUITE 204, LEXINGTON, KY 40504-2754
(859) 258-4339
(859) 258-6122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45025
KY
207W00000X
Ophthalmology Physician
R1832
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
LC MEDICARE GROUP ID NUMBER
KY
01
—
65923740
LC MEDICAID GROUP NUMBER
KY
Enumeration date
11/04/2008
Last updated
04/06/2012
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