Active NPI
Eric W Newgent, D.O.
- Sleep Medicine (Family Medicine) Physician
- Berlin, WI
National Provider Identifier
1942201967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 36180
- Practice address
- 191 Memorial Dr
Suite 300
Berlin, WI 54923-1241 - Phone
- (920) 361-5717
- Fax
- (920) 361-6361
- NPI assigned
- Aug 2, 2005
- 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 |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 36180 | WI | Primary |
| Occupational Medicine Physician | 2083X0100X | 36180 | WI |
Addresses
Primary practice location
191 Memorial Dr
Suite 300
Berlin, WI 54923-1241
Mailing address
3021 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 361-5717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30065200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36180 | WI | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1942201967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 VOYAGER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118303",
"telephone_number": "920-361-5717",
"fax_number": "920-361-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 MEMORIAL DR",
"address_2": "SUITE 300",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231241",
"telephone_number": "920-361-5717",
"fax_number": "920-361-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWGENT",
"first_name": "ERIC",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "WI",
"license": "36180",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "WI",
"license": "36180",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30065200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.