Active NPI
Edward Thomas Newbill, M.D.
- Otolaryngic Allergy Physician
- Richmond, VA
National Provider Identifier
1346248101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 0101035155
- Practice address
- 6900 Forest Ave Ste 115
Suite 303
Richmond, VA 23230-1701 - Phone
- (804) 893-8710
- Fax
- (804) 285-1293
- NPI assigned
- Jul 14, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | 0101035155 | VA | Primary |
Addresses
Primary practice location
6900 Forest Ave Ste 115
Suite 303
Richmond, VA 23230-1701
Mailing address
12903 Fox Meadow Dr
Henrico, VA 23233-2270
Phone (804) 484-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6501346 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1346248101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12903 FOX MEADOW DR",
"city": "HENRICO",
"state": "VA",
"postal_code": "232332270",
"telephone_number": "804-484-3700",
"fax_number": "804-323-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 FOREST AVE STE 115",
"address_2": "SUITE 303",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301701",
"telephone_number": "804-893-8710",
"fax_number": "804-285-1293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBILL",
"first_name": "EDWARD",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "VA",
"license": "0101035155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6501346",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.