Organization Active NPI

Clyde a. Newton MD PC

  • Ophthalmology Physician
  • Brattleboro, VT
National Provider Identifier
1043492259
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0420003916 Issued in VT
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

Updated by the provider on Nov 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clyde A. Newton, MDNPI 1528164928
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
NE0004301MedicaidVT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.