Dennis Lee Newberry Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

31736 Issued in KY

Legal business name

DENNIS LEE NEWBERRY INC

Practice address

1305 N Elm St
Henderson, KY 42420-2783

Phone

(270) 827-7100

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Mark Andreas

Title

Billing Office Manager

Phone

(812) 490-1822

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1922469261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 MIDDLE KNOTTSVILLE RD",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "423486603",
            "telephone_number": "270-827-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-827-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS LEE NEWBERRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "ANDREAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "812-490-1822"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "31736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64872716",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Deal
• Ruth Ann Deangelis, LCSW
• Emalee Faith Deel, LCSW
• Eric Dalton Deig, DPM
• Margaret Elizabeth Delp, OTR/L
• Rami Diab, MD
• Jovanni Dilegge
• Shanda Southard Dixon
• Peter James Doll, D.P.M.
• Heather Dooley, DI

• Emergency Medicine Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.