Active NPI
Carol Newmyer, M.D.
- Specialist
- Kingman, AZ
National Provider Identifier
1619934155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 18661
- Practice address
- 1815 N Stockton Hill Rd
Kingman, AZ 86401-4667 - Phone
- (928) 753-2888
- Fax
- (928) 753-9350
- NPI assigned
- Apr 27, 2006
- Last updated
- Sep 8, 2016
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 18661 | AZ | Primary |
Addresses
Primary practice location
1815 N Stockton Hill Rd
Kingman, AZ 86401-4667
Mailing address
1815 N Stockton Hill Rd
Kingman, AZ 86401-4667
Phone (928) 753-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287723 | Other | AZ | AHCCCS ID NUMBER |
| AZ0261790 | Other | AZ | BC/BS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18661 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1619934155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 N STOCKTON HILL RD",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014667",
"telephone_number": "928-753-2888",
"fax_number": "928-753-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 N STOCKTON HILL RD",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014667",
"telephone_number": "928-753-2888",
"fax_number": "928-753-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMYER",
"first_name": "CAROL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "18661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID NUMBER",
"identifier": "287723",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "AZ0261790",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.