Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC001571L | PA |
Y | 222Z00000X | Podiatrist | SC001571L | PA |
NPI | 1023003902 |
---|---|
Provider Name | Dr. Larry M Newman |
First Address | Philadelphia, PA 19182-7282 |
Second Address | Phildelphia, PA 19107-2496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 02/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005022630014 | (05) | PA |
0015778000 | KEYSTONE HEALTH PLAN HMO (01) | PA |
1009897 | CIGNA (01) | PA |
1112246 | KEYSTONE MERCY (01) | PA |
231365971 | HUMANA (01) | PA |
231365971 | UNITED HEALTHCARE (01) | PA |
231365971071 | TRI-CARE (01) | PA |
2494390 | AETNA (01) | PA |
28824 | HEALTH PARTNERS (01) | PA |
3Y2601 | HEALTH NET (01) | PA |
435770 | HEALTH AMERICA HEALTH ASSURANCE (01) | PA |
480030053 | RAILROAD MEDICARE (01) | PA |
502263 | (05) | PA |
50226301 | HMA (01) | PA |
76710 | KEYSTONE HEALTH PPO (01) | PA |
8071705 | NJ MEDICAL ASSISTANCE (01) | NJ |
9034 | ELDER HEALTH / BRAVO (01) | PA |
J76710 | INTER CITY (01) | PA |
NE76710 | BLUE SHIELD OF PA (01) | PA |
P2444553 | OXFORD (01) | PA |
T28207 | (02) |