Active NPI
Angela Marie Newman, PA-C
- Physician Assistant
- Watertown, WI
National Provider Identifier
1386826907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2091-023
- Practice address
- 123 Hospital Dr
Suite 2004
Watertown, WI 53098-3331 - Phone
- (920) 206-7772
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2091-023 | WI | Primary |
Addresses
Primary practice location
123 Hospital Dr
Suite 2004
Watertown, WI 53098-3331
Mailing address
123 Hospital Dr
Suite 2004
Watertown, WI 53098-3331
Phone (920) 206-7772
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2091-023 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1386826907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 HOSPITAL DR",
"address_2": "SUITE 2004",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530983331",
"telephone_number": "920-206-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HOSPITAL DR",
"address_2": "SUITE 2004",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530983331",
"telephone_number": "920-206-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2091-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.