Active NPI
Clyde a. Newton MD PC
- Ophthalmology Physician
- Brattleboro, VT
National Provider Identifier
1043492259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0420003916
- Legal business name
- CLYDE A. NEWTON MD PC
- Practice address
- 19 Belmont Ave
No 101
Brattleboro, VT 05301 - Phone
- (802) 257-0110
- Fax
- (802) 257-0127
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clyde A. Newton, MD
- Title
- President/Owner
- Phone
- (802) 257-0110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0420003916 | VT | Primary |
Addresses
Primary practice location
19 Belmont Ave
No 101
Brattleboro, VT 05301
Mailing address
19 Belmont Ave
No 101
Brattleboro, VT 05301
Phone (802) 257-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NE0004301 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
19 Belmont Ave
Ste 101
Brattleboro, VT 05301
Phone (802) 257-0110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1043492259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BELMONT AVE",
"address_2": "NO 101",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "802-257-0110",
"fax_number": "802-257-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BELMONT AVE",
"address_2": "NO 101",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "802-257-0110",
"fax_number": "802-257-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLYDE A. NEWTON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "CLYDE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "802-257-0110",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VT",
"license": "0420003916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NE0004301",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.