Mary Roberta Newburger, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GFE27273 Issued in CA

Practice address

10 Parsley Cir
Santa Fe, NM 87506-9519

Phone

(505) 989-1718

Fax

(505) 989-1718

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1902010432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARSLEY CIR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875069519",
            "telephone_number": "505-989-1718",
            "fax_number": "505-982-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSLEY CIR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875069519",
            "telephone_number": "505-989-1718",
            "fax_number": "505-989-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURGER",
        "first_name": "MARY",
        "middle_name": "ROBERTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "GFE27273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Mexico Surgical Assisting, Inc
• New Mexico Treatment Services LLC
• New Mexico Wic Program
• New Vistas
• Charles Fred Newberry III, DOM
• Nancy Susan Newhall, PT
• Deanne Kreis Newman, MSW
• Debra R Newman, PA-C, MPH
• Elizabeth A Newman, M.D.
• Kirstie A Newman, LPAT

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.