Provider Demographics
NPI:1750362794
Name:NEWTON, THOMAS JOHN (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JOHN
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1360 ELM ST E
Mailing Address - Street 2:CENTRACARE CLINIC ST JOSEPH FAMILY MEDICINE
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-4694
Mailing Address - Country:US
Mailing Address - Phone:320-363-7765
Mailing Address - Fax:320-363-0031
Practice Address - Street 1:1360 ELM ST E
Practice Address - Street 2:CENTRACARE CLINIC ST JOSEPH FAMILY MEDICINE
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-4694
Practice Address - Country:US
Practice Address - Phone:320-363-7765
Practice Address - Fax:320-363-0031
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2015-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN24499207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
105800OtherU CARE
408092100OtherMEDICAL ASSISTANCE
0126374OtherMEDICA HEALTH PLANS
2114030OtherFIRST HEALTH PLAN
86D74NEOtherBLUE CROSS BLUE SHIELD
438505OtherPREFERRED ONE
600948OtherARAZ GROUP AMERICAS PPO
HP22754OtherHEALTH PARTNERS
408092100OtherMEDICAL ASSISTANCE
438505OtherPREFERRED ONE