STEVEN RAY EDMONDSON (NPI# 1164429890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164429890 |
| Entity Type | Individual |
| Full Name | STEVEN RAY EDMONDSON |
| Other Name | STEVEN RAY EDMONDSON |
| Credential | MD |
| Practice Address |
3025 N Tarrant Pkwy Suite 240 Fort Worth TX 76177-8620 |
| Practice Telephone | 8174311500 |
| Mailing Telephone | 8174311500 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G8830 | TX | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G8830 | TX | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
G8830 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 131769509 | 05 | |
| TX | 109380901 | 05 | |
| TX | 131769508 | 05 | |
| TX | 131769510 | 05 | |
| TX | UNITED HEALTHCARE | 0737147 | 01 |
| TX | 131769502 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 83022Y | 01 |
| TX | AETNA | 2357545 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186816 | Steven A Edmondson | Internal Medicine | 3215 N North Hills Blvd, Hospital Medicine Group, Fayetteville, AR 72703 | 2005-10-04 |
| 1992760805 | Steven H Edmondson | Family Medicine | 107 N Bridge St, Saranac, MI 48881-5121 | 2006-04-20 |
| Street Address |
3025 N TARRANT PKWY SUITE 240 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177-8620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245789601 | Sabrina Chanthalath | Physician Assistant | 3025 N Tarrant Pkwy, Suite 220, Fort Worth, TX 76177-8620 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481637 | Jonathan C. Snead, Md, Pa Dba: Alliance Women's Healthcare | Obstetrics & Gynecology | 10932 N Riverside Dr Ste 100, Fort Worth, TX 76244-7137 | 2017-11-29 |
| 1356888788 | Karen Benz, Md Pa | Obstetrics & Gynecology | 1250 8th Ave Ste 270, Fort Worth, TX 76104-4139 | 2017-01-24 |
| 1164895355 | Steven R. Edmondson Md, Pa | Obstetrics & Gynecology | 3025 N Tarrant Pkwy Ste 240, Fort Worth, TX 76177-8620 | 2015-11-10 |
| 1437542982 | Charles David Braungardt | Obstetrics & Gynecology | 7221 Meadowbrook Dr, Fort Worth, TX 76112-5327 | 2015-03-09 |
| 1962840678 | Madeline Manning | Obstetrics & Gynecology | 6100 Harris Pkwy Ste 235, Fort Worth, TX 76132-4126 | 2013-06-05 |
| 1720378375 | Melissa A Weidert | Obstetrics & Gynecology | 1000 Bonnie Brae Ave, Fort Worth, TX 76111-4301 | 2011-04-17 |
| 1396061826 | Deana Jamal Hussamy | Obstetrics & Gynecology | 1325 Pennsylvania Ave Ste 600, Fort Worth, TX 76104-2133 | 2010-04-08 |
| 1790001360 | Christopher Mark Ripperda | Obstetrics & Gynecology | 1250 8th Ave Ste 330, Fort Worth, TX 76104-4148 | 2010-04-07 |
| 1063744142 | Linda M Bernstein | Obstetrics & Gynecology | 7229 Hawkins View Dr, Fort Worth, TX 76132-3921 | 2010-02-01 |
| 1104157106 | Remedios R. Cabansag, Md, Pa | Obstetrics & Gynecology | 11803 So. Freeway, Suite 254, Fort Worth, TX 76115-0337 | 2010-01-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.