Individual provider Active NPI

Carol Anne Newman, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1497861157
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49403 Issued in AZ
Practice address
2510 W Dunlap Ave
Ste. 290
Phoenix, AZ 85021-2737
Phone
(602) 789-0344
Fax
(602) 870-7566
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CN082749 MI
Family Medicine Physician 207Q00000X L4078 TX
Family Medicine Physician 207Q00000X 49403 AZ Primary

Addresses

Primary practice location

2510 W Dunlap Ave
Ste. 290
Phoenix, AZ 85021-2737

Mailing address

2510 W Dunlap Ave
Ste. 290
Phoenix, AZ 85021-2737
Phone (602) 789-0344

Other identifiers 1

IdentifierTypeStateIssuer
974505MedicaidAZ

Other names 1

  • Mrs. Carol Anne Gilson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150122002591 AZ Practitioner - Family Practice 3072403666 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49403AZMDFamily Medicine Physician
CN082749MIMDFamily Medicine Physician
L4078TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Apr 1, 2017 Accepting new patients
NM Pacs 2 LLC CurrentSince Sep 23, 2020 Accepting new patients
CS Pacs 3 West LLC CurrentSince Dec 21, 2024 Accepting new patients
Yuma Nursing Center 2 Inc Past Accepting new patients
Youngtown Health, Inc. Past Accepting new patients
Phoenix Az Opco LLC Past Accepting new patients
Salus Home Health and Hospice Az, LLC Family Medicine PastSince Aug 17, 2023 Accepting new patients
Immanuel Caring Ministries, Inc. Past Accepting new patients

Locations

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

1045 Scott Dr
Prescott, AZ 86301
Phone (928) 717-1560

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1497861157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "STE. 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-870-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "STE. 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-870-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "CN082749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4078",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "49403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974505",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GILSON",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.