Organization Active NPI

Terry D. Newsom, M.D., P.a.

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1851692867
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D8366 Issued in TX
Legal business name
TERRY D. NEWSOM, M.D., P.A.
Practice address
4005 W 15TH St
Plano, TX 75093-5818
Phone
(972) 519-1100
NPI assigned
Nov 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Terry D. Newsom, M.D.
Title
President
Phone
(972) 519-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X D8366 TX Primary

Addresses

Primary practice location

4005 W 15TH St
Plano, TX 75093-5818

Mailing address

2701 W 15TH St # 550
Plano, TX 75075-7523
Phone (214) 842-4983

Other identifiers 1

IdentifierTypeStateIssuer
000000M735OtherTXBLUE SHIELD OF TEXAS

National Provider Directory

National Provider Directory

Locations

2701 W 15th St
#550
Plano, TX 75075
Phone (972) 396-5430

NPI Registry JSON

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1851692867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W 15TH ST # 550",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757523",
            "telephone_number": "214-842-4983",
            "fax_number": "214-842-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935818",
            "telephone_number": "972-519-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY D. NEWSOM, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-519-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "D8366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF TEXAS",
            "identifier": "000000M735",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.