Individual provider Active NPI

Jeremy Herschel Newman, MD

  • Emergency Medicine Physician
  • Lander, WY
National Provider Identifier
1487865051
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22627 Issued in WV
Practice address
1500 Goodrich Dr
Lander, WY 82520-0009
Phone
(702) 406-7145
NPI assigned
May 25, 2007
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22627 WV Primary

Addresses

Primary practice location

1500 Goodrich Dr
Lander, WY 82520-0009

Mailing address

1500 Goodrich Dr
Lander, WY 82520-0009
Phone (702) 406-7145

Other practice location 1

31 Gobblers Run
Morgantown, WV 26508-4242
Phone (304) 594-2118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924001351 WY Practitioner - Emergency Medicine 5799867099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory P Clifford MD PCGroup PAC ID 0446241632, 5 clinicians

Practice addresses (Care Compare)

1320 Bishop Randall Dr
Lander, WY 82520-3939
Phone (307) 332-4420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
72.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22627WVMDEmergency Medicine Physician
271673NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Emergency Medicine Physicians of Albany County, PLLC Emergency Medicine Past Accepting new patients

Locations

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1487865051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GOODRICH DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825200009",
            "telephone_number": "702-406-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GOODRICH DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825200009",
            "telephone_number": "702-406-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Gobblers Run",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265084242",
            "country_code": "US",
            "telephone_number": "304-594-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JEREMY",
        "middle_name": "HERSCHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "22627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.