Newsome Medical LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME 94349 Issued in FL

Legal business name

NEWSOME MEDICAL LLC

Practice address

121 Webb Dr
Suite 100
Davenport, FL 33837-3904

Phone

(863) 422-0001

Fax

(863) 422-0003

NPI assigned

Jul 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ladapo O Shyngle, MDNPI 1477709160

Title

Medical Director

Phone

(863) 422-0001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ladapo Shyngle, M.D., MPH

  • General Practice Physician
  • Davenport, FL
  • NPI 1477709160
  NPD (past) Authorized official

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1942640057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WEBB DR",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373904",
            "telephone_number": "863-422-0001",
            "fax_number": "863-422-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WEBB DR",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373904",
            "telephone_number": "863-422-0001",
            "fax_number": "863-422-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "SHYNGLE",
        "authorized_official_first_name": "LADAPO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-422-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME 94349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detsy Z Negron
• Kenneth M. Neigut, M.D.
• Nejame Psychological Services LLC
• Tasia Nelson
• New Kingdom Living Foundation Care
• Nexus Care Services, Inc.
• Kevin Nguyen, PA-C
• Truc Thuy Nguyen, DMD
• Night Shift Pediatrics LLC
• Sunil Nihalani, MD

• Health Service Clinic/Center in Davenport, FL
• Providers in Davenport, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.