Dick J Newell, D.O.
Individual provider Active NPI Family Medicine Physician · Bloomfield, MO
NPI 1558395103 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1558395103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R7434 (MO)
- Practice address
- 101 S. Prairie
Bloomfield, MO 63825 - Phone
- (573) 568-3838
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7434 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Bluff Regional Medical Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7434 | MO | Yes |
Addresses
Primary practice location
101 S. Prairie
Bloomfield, MO 63825
Mailing address
2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone (573) 727-2772
Other providers in Bloomfield, MO
- Nancy J Keim
- Ben Lanpher
- Megan Marie Mayhall
- Tara Gretchen Mouser
- Rachel Murdock
- Robin Denise Osborn
- Pedro Palomino
- Poplar Bluff Regional Medical Center LLC
- Poplar Bluff Regional Medical Center, LLC
- Prairie View Skilled Nursing LLC
All providers in Bloomfield, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.