Organization Active NPI

Newman, M.D. Plastic Surgery, P.a.

  • Plastic Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1194975409
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NEWMAN, M.D. PLASTIC SURGERY, P.A.
Practice address
130 E 9TH St
Mountain Home, AR 72653-4704
Phone
(870) 425-6398
Fax
(870) 425-6402
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Adam G. Newman, M.D.NPI 1225042377
Title
President
Phone
(879) 425-6398

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

130 E 9TH St
Mountain Home, AR 72653-4704

Mailing address

130 E 9TH St
Mountain Home, AR 72653-4704
Phone (870) 425-6398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000047 AR Part B Supplier - Clinic/Group Practice 3173683992 Receives reassigned benefits from 2 practitioners
Practice locations: Mountain Home, AR

National Provider Directory

National Provider Directory

Locations

1200 SE 28th St
Ste 2
Bentonville, AR 72712
Phone (479) 271-0005

3733 N Business Dr
Ste 102
Fayetteville, AR 72703
Phone (479) 521-1500

130 E 9th St
Mountain Home, AR 72653
Phone (870) 425-6398

200 N College St
Mountain Home, AR 72653
Phone (870) 424-4550

Practitioners & affiliated clinicians

Practitioners 9

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1194975409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 9TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534704",
            "telephone_number": "870-425-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 9TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534704",
            "telephone_number": "870-425-6398",
            "fax_number": "870-425-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN, M.D. PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "879-425-6398",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.