Individual provider Active NPI

Phillip A Newman, D.O.

  • Emergency Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1700813508
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1309 Issued in TN
Practice address
1700 Medical Center Parkway
Middle Tennessee Medical Center
Murfreesboro, TN 37129
Phone
(615) 217-6900
Fax
(615) 217-6995
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1309 TN Primary

Addresses

Primary practice location

1700 Medical Center Parkway
Middle Tennessee Medical Center
Murfreesboro, TN 37129

Mailing address

One Vantage Way, Suite B-240
Middle Tennessee Emergency Physicians, P.C.
Nashville, TN 37228-1562
Phone (615) 313-9205

Other identifiers 4

IdentifierTypeStateIssuer
3305876MedicaidTN
3139281OtherTNSTONES RIVER IPA
3136073OtherTNBLUECROSS
64028848OtherKYKY MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040518001176 TN Practitioner - Emergency Medicine 6103817333 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1309TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Aug 1, 2002 Accepting new patients
Crossroads Urgent Care PLLC CurrentSince Jul 27, 2012 Accepting new patients
Crossroads Urgent Care PLLC CurrentSince Jul 27, 2012 Accepting new patients

Locations

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1700813508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VANTAGE WAY, SUITE B-240",
            "address_2": "MIDDLE TENNESSEE EMERGENCY PHYSICIANS, P.C.",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281562",
            "telephone_number": "615-313-9205",
            "fax_number": "615-301-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PARKWAY",
            "address_2": "MIDDLE TENNESSEE MEDICAL CENTER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-217-6900",
            "fax_number": "615-217-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305876",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STONES RIVER IPA",
            "identifier": "3139281",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "3136073",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64028848",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.