Active NPI
Andrew Dwight Newburn, M.D.
- Pediatrics Physician
- Dover, OH
National Provider Identifier
1679736128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.096523
- Practice address
- 340 Oxford St Ste 310
Dover, OH 44622-1966 - Phone
- (330) 364-8011
- Fax
- (330) 364-0058
- NPI assigned
- Jul 4, 2008
- Last updated
- Jan 23, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.096523 | OH | Primary |
Addresses
Primary practice location
340 Oxford St Ste 310
Dover, OH 44622-1966
Mailing address
340 Oxford St Ste 310
Dover, OH 44622-1966
Phone (330) 364-8011
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 |
|---|---|---|---|
| 35.096523 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin City Medical Offices | Pediatrics | Past | Accepting new patients |
| Trinity Hospital Twin City | Pediatrics | Past | Accepting new patients |
| Children's Hospital Medical Center of Akron | Pediatrics | Past | Accepting new patients |
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.
-
dba Akron Children's Hospital-Physician Group
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
dba Twin City Medical Center
- Rural Health Clinic/Center
- Dover, OH
- NPI 1770352981
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1679736128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 OXFORD ST STE 310",
"city": "DOVER",
"state": "OH",
"postal_code": "446221966",
"telephone_number": "330-364-8011",
"fax_number": "330-364-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 OXFORD ST STE 310",
"city": "DOVER",
"state": "OH",
"postal_code": "446221966",
"telephone_number": "330-364-8011",
"fax_number": "330-364-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBURN",
"first_name": "ANDREW",
"middle_name": "DWIGHT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-04",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.096523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Ohio Women's Health & Wellness Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.