DR. MICHAEL G EDWARDS (NPI# 1174594782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174594782 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G EDWARDS |
| Credential | M.D. |
| Practice Address |
170 Governors Ave Medford MA 02155-1643 |
| Mailing Address |
582 Beacon St Newton MA 02459-2024 |
| Practice Telephone | 7813961002 |
| Practice Fax Number | 7813938718 |
| Mailing Telephone | 7813961002 |
| Mailing Fax Number | 7813938718 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 30665 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS & BLUE SHIELD | B47115 | 01 |
| MA | TUFTS ASSOCIATED HEALTH | 726790 | 01 |
| MA | NETWORK HEALTH | 993797 | 01 |
| MA | HARVARD PILGRIM HEALTH | AA16108 | 01 |
| MA | 0120952 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493921 | Michael Edwards | Psychologist | 875 Waimanu St Suite 612, Honolulu, HI 96813-5248 | 2017-08-17 |
| 1427380658 | Michael Kevin Edwards | Specialist/Technologist, Other | 1882 Mustang Trl, Suffolk, VA 23432-1832 | 2010-02-15 |
| 1295964088 | Michael J Edwards Sr. | Counselor | 2102 Tradewind Dr, Suite 172, Mesquite, TX 75150-3309 | 2009-07-14 |
| 1215172069 | Michael Edwards | Dentist | 384 Montauk Highway, Suite 3, Wainscott, NY 11975-0387 | 2008-12-09 |
| 1376664359 | Michael Edwards | Counselor | 2004 Hospital Way, Whitefish, MT 59937-7858 | 2007-04-03 |
| 1164555918 | Michael D Edwards | Dentist | 449 Main St North, Wedowee, AL 36278 | 2007-03-13 |
| 1043391410 | Michael C Edwards | Plastic Surgery | 8530 W. Sunset Road, Suite 130, Las Vegas, NV 89113 | 2006-10-18 |
| 1386651073 | Michael A Edwards | Family Medicine | 40-42 Asbury St, South Hamilton, MA 01982 | 2006-08-02 |
| 1891774147 | Michael Edwards | Surgery | 1440 E 1st St, Suite 100, Santa Ana, CA 92701-6384 | 2006-01-14 |
| 1477058170 | Michael Hollis Edwards | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-26 |
| Street Address |
170 GOVERNORS AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290467 | Melrosewakefield Healthcare, Inc. | General Acute Care Hospital | 170 Governors Ave, Medford, MA 02155-1643 | 2005-07-26 |
| 1255964391 | Hallmark Health Medical Associates Inc | Psychologist | 170 Governors Ave, Medford, MA 02155-1643 | 2020-02-18 |
| 1205473592 | Melrosewakefield Healthcare, Inc. | Clinic/Center | 170 Governors Ave, Medford, MA 02155-1643 | 2019-12-05 |
| 1801431754 | John Norcross | Occupational Therapist | 170 Governors Ave, Medford, MA 02155-1643 | 2019-11-14 |
| 1770029670 | Kayla Rose | Registered Nurse | 170 Governors Ave, Medford, MA 02155-1643 | 2017-01-16 |
| 1326403809 | Ying Ma | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2015-12-28 |
| 1396143624 | Laurie Young | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2014-12-19 |
| 1912325754 | Yesodarao and Associates LLC | Internal Medicine | 170 Governors Ave, Medford, MA 02155-1643 | 2014-03-30 |
| 1124364872 | Andrea Messina | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2012-12-28 |
| 1124362389 | Michelle Vidal | Social Worker | 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437385531 | Alan Greenfeld | Anesthesiology | 13 Sawmill Rd, Medford, NJ 08055-8130 | 2009-06-03 |
| 1558529982 | Christine Marie Lennon | Anesthesiology | 219 Falls Ct, Medford, NJ 08055-8236 | 2008-06-02 |
| 1396775268 | John Cameron Kearns | Anesthesiology | 2620 H East Barnett Road, Medford, OR 97504-8383 | 2006-07-04 |
| 1407884281 | Gary Allan Fletcher | Anesthesiology | 2620-h East Barnett Road, Medford, OR 97504-8383 | 2006-06-29 |
| 1912963679 | Jill A Antoine | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2006-04-21 |
| 1376535302 | Joseph Mark Savino | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2005-08-16 |
| 1245239375 | Shawn Michael Sills | Anesthesiology | 2925 Siskiyou Blvd, Medford, OR 97504 | 2005-07-20 |
| 1285185942 | Providence Health & Services Oregon | Anesthesiology | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2016-10-18 |
| 1326493669 | Dean Snyder | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2016-04-24 |
| 1851745228 | Darik Benson | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2016-04-21 |
| Find all providers in MEDFORD | ||||
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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.