Basic Information
Provider Information
NPI: 1558336602
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEWTON
FirstName: JAMES
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 550
Address2:  
City: LOWELL
State: AR
PostalCode: 727450550
CountryCode: US
TelephoneNumber: 4794637775
FaxNumber: 4794637187
Practice Location
Address1: 3215 N. NORTH HILL DRIVE
Address2:  
City: FAYETTEVILLE
State: AR
PostalCode: 727034424
CountryCode: US
TelephoneNumber: 4794637102
FaxNumber: 4794637864
Other Information
ProviderEnumerationDate: 02/22/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X0101042863VAN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
208M00000XE-7100ARN Allopathic & Osteopathic PhysiciansHospitalist 
207RI0200XE-7100ARY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

ID Information
IDTypeStateIssuerDescription
00582793105VA MEDICAID


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