Individual
DR. SAMUEL S NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 344-1600
(859) 344-0091
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-1600
(859) 344-0091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38079
KY
2086S0129X
Vascular Surgery Physician
38079
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09454052
SES PHYS SERV KY MCR PTAN
KY
05
—
200446010
—
IN
05
—
2475254
—
OH
05
—
64026339
—
KY
05
—
7100056850
—
KY
01
—
P00024477
RAILROAD MEDICARE
KY
01
—
P00024477
RAILROAD MEDICARE
—
Enumeration date
02/17/2006
Last updated
09/14/2018
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