John W. Newlin, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036074839 Issued in IL

Legal business name

JOHN W. NEWLIN, M.D., LLC

Practice address

302 W Hay St
Suite 130
Decatur, IL 62526-4167

Phone

(217) 872-8100

Fax

(217) 872-8101

NPI assigned

Jan 9, 2014

Last updated

Jan 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Wesley Newlin, M.D.NPI 1528159688

Title

Physician/Owner

Phone

(217) 872-8100

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Wesley Newlin, MD

  • Internal Medicine Physician
  • Decatur, IL
  • NPI 1528159688
  Authorized official Same address or phone

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1629490628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W HAY ST",
            "address_2": "SUITE 130",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264167",
            "telephone_number": "217-872-8100",
            "fax_number": "217-872-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W HAY ST",
            "address_2": "SUITE 130",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264167",
            "telephone_number": "217-872-8100",
            "fax_number": "217-872-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. NEWLIN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "NEWLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "217-872-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036074839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0005800283",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "195549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "122478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "004400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110203310",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Lee MD SC
• John C. Kefalas, M.D.,S.C. (Central Illinois Bone and Joint Center)
• John C. Lee, M.D., S.C.
• John Herington, PC (John Herington LCSW)
• John R Wasem DC PC
• David Martin Johnson, MD
• Jessica Marie Johnson, O.D.
• Mallory Noel Johnson
• Margaret Ellen Johnson, LCSW
• Nicholas Johnson

• Internal Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.