Active NPI
Robert Jason Newsom, M.D., M.P.H.
- Public Health & General Preventive Medicine Physician
- Lynn Haven, FL
National Provider Identifier
1306846761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 94571
- Practice address
- 1406 Maryland Ave
Lynn Haven, FL 32444-2044 - Phone
- (850) 872-9752
- NPI assigned
- Jul 28, 2005
- Last updated
- Aug 24, 2009
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 94571 | FL | Primary |
Addresses
Primary practice location
1406 Maryland Ave
Lynn Haven, FL 32444-2044
Mailing address
1406 Maryland Ave
Lynn Haven, FL 32444-2044
Phone (850) 872-9752
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045102 | Other | GA | STATE LICENSE |
| ME 94571 | Other | FL | STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94571 | FL | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1306846761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 MARYLAND AVE",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324442044",
"telephone_number": "850-872-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 MARYLAND AVE",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324442044",
"telephone_number": "850-872-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOM",
"first_name": "ROBERT",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "94571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "045102",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME 94571",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynn Haven, FL
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- Lilyana S Nehring
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- Lisa Ann Norden, LMT
- North Florida Medical Group
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- North Florida Medical Group, LLC (Coastal Urgent Care and Family Medicine)
- Northwest Florida Hematology Oncology P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.