Active NPI
Mark C Newman, MD
- Emergency Medicine Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 42992
- Practice address
- 1575 Beam Ave
Maplewood, MN 55109-1126 - Phone
- (651) 232-7348
- Fax
- (651) 232-6665
- NPI assigned
- Jun 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 60188-20 | WI | |
| Emergency Medicine Physician | 207P00000X | 42992 | MN | Primary |
Addresses
Primary practice location
1575 Beam Ave
Maplewood, MN 55109-1126
Mailing address
8170 33Rd Ave S
Ms21110Q
Minneapolis, MN 55425-4516
Phone (715) 381-3149
Other practice location 1
927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 439-5330
Other practice location 2
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456
Other practice location 3
405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000
Other practice location 4
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42992 | MN | MD | Emergency Medicine Physician |
| 60188-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Memorial Hospital Association Inc | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc. | Emergency Medicine | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Regions Hospital | Emergency Medicine | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
1500 Curve Crest Blvd W
Stillwater, MN 55082
921 Greeley St S
West Lakeland, MN 55082
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
Organizations & group practices 12
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.
-
- Neonatal Nurse Practitioner
- Stillwater, MN
- NPI 1821114729
Emergency Medicine
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
-
- Pharmacy
- Stillwater, MN
- NPI 1326124454
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Critical Access Hospital
- Hudson, WI
- NPI 1255532875
-
- Hematology & Oncology Physician
- Osceola, WI
- NPI 1477228070
-
- Nurse Practitioner
- New Richmond, WI
- NPI 1205166998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1932148665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "715-381-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BEAM AVE",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091126",
"telephone_number": "651-232-7348",
"fax_number": "651-232-6665"
}
],
"practiceLocations": [
{
"address_1": "927 Churchill St W",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826605",
"country_code": "US",
"telephone_number": "651-439-5330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Stageline Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Hospital Rd",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "WI",
"postal_code": "540171449",
"country_code": "US",
"telephone_number": "715-243-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "MARK",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "60188-20",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "42992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.