Active NPI
Kevin Newton
- Interventional Pain Medicine Physician
- Jacksonville, FL
National Provider Identifier
1205220795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME 109638
- Practice address
- 9191 RG Skinner Pkwy
Ste 303
Jacksonville, FL 32256 - Phone
- (240) 855-5723
- Fax
- (904) 503-0982
- NPI assigned
- Mar 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME 109638 | FL | Primary |
Addresses
Primary practice location
9191 RG Skinner Pkwy
Ste 303
Jacksonville, FL 32256
Mailing address
9191 RG Skinner Pkwy
Ste 303
Jacksonville, FL 32256
Phone (240) 855-5723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 109638 | FL | MD | Interventional Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1205220795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 RG SKINNER PKWY",
"address_2": "STE 303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "240-855-5723",
"fax_number": "904-503-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 RG SKINNER PKWY",
"address_2": "STE 303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "240-855-5723",
"fax_number": "904-503-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME 109638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.