NPIMap

Individual provider Active NPI

Andrew B Newman, PA-C

  • Medical Physician Assistant
  • Bryn Mawr, PA
National Provider Identifier
1386640142
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA901131L Issued in PA
Practice address
931 East Haverford Rd
Ste 202
Bryn Mawr, PA 19010
Phone
(610) 525-8200
Fax
(610) 525-8201
NPI assigned
Jun 24, 2005
Last updated
Sep 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA901131L PA Primary

Addresses

Primary practice location

931 East Haverford Rd
Ste 202
Bryn Mawr, PA 19010

Mailing address

931 E Haverford Rd
Ste 202
Bryn Mawr, PA 19010-3838
Phone (610) 525-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520000903 VT Practitioner - Physician Assistant 1153385224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Practice addresses (Care Compare)

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

51 Tennis Way
A
East Dorset, VT 05253-4410
Phone (802) 366-8195

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA901131LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Hospital, Inc. Current Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Mid Vermont Pathology PC Current Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Rutland Hospital, Inc. Current Accepting new patients
Center for Interventional Pain Spine LLC Past Accepting new patients

Locations

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • Direct secure messaging: andrewb.newman@mainlineorthopedics.chartmakerdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1386640142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD",
            "address_2": "STE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-525-8200",
            "fax_number": "610-525-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 EAST HAVERFORD RD",
            "address_2": "STE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-8200",
            "fax_number": "610-525-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA901131L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.