THOMAS EDWARDS (NPI# 1194720672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194720672 |
| Entity Type | Individual |
| Full Name | THOMAS EDWARDS |
| Credential | PA-C |
| Practice Address |
1096 Old Churchmans Rd Newark DE 19713-2102 |
| Practice Telephone | 3026559494 |
| Practice Fax Number | 3026234147 |
| Mailing Telephone | 3026559494 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C50000228 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | MID-ATLANTIC | 16225 | 01 |
| DE | RAILROAD MEDICARE | P00110729 | 01 |
| DE | BCBS | P02567 | 01 |
| DE | COVENTRY | P02567 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498928 | Thomas Edwards | Social Worker | 8300 Foxtrail Dr, Fayetteville, NC 28311-8948 | 2015-10-06 |
| 1871881201 | Thomas A Edwards | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H Attn; Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2011-07-19 |
| 1003097775 | Thomas Lynn Edwards | Psychologist | 16150 Crosstown Blvd Nw, Andover, MN 55304-2111 | 2007-11-21 |
| 1457486615 | Thomas John Edwards | Chiropractor | 21195 Watertown Rd, Waukesha, WI 53186-1898 | 2007-02-21 |
| 1669536348 | Thomas C Edwards | Internal Medicine | 334 W 10th Pl, Ste 100, Mesa, AZ 85201-3497 | 2006-12-20 |
| 1649352410 | Thomas John Edwards | Dentist | 2575 Maysville Pike, Zanesville, OH 43701-8081 | 2006-10-20 |
| 1770503427 | Thomas Walter Edwards Jr. | Dentist | 10921 Wilshire Blvd Ste 1010, Los Angeles, CA 90024-4003 | 2006-07-19 |
| 1205879459 | Thomas Lloyd Edwards | Family Medicine | 12844 Joe Harig Rd, San Antonio, FL 33576-0537 | 2006-06-14 |
| 1952386179 | Thomas E Edwards | Optometrist | 10054 Cooley Rd, Brookville, IN 47012-9511 | 2005-12-09 |
| 1326029125 | Thomas Elliot Edwards Jr. | Specialist | 2799 Lawrenceville Hwy, Suite 104, Decatur, GA 30033-2531 | 2005-11-09 |
| Street Address |
1096 OLD CHURCHMANS RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614981 | Kalette Demarrais | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-09-16 |
| 1083236897 | Cora M Goldberg | Specialist/Technologist | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-05-14 |
| 1689101917 | George Alvin Duffield | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2017-05-17 |
| 1770949026 | Daniel Maistre | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2015-12-31 |
| 1023499183 | Matthew Stump | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2015-06-15 |
| 1427221753 | Julia S Gelman Glazier | Nurse Practitioner | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2008-04-08 |
| 1760661193 | Michael J Principe | Orthopaedic Surgery | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2007-11-02 |
| 1003944406 | Bradley Bley | Internal Medicine | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2007-02-28 |
| 1972663995 | Regional Orthopaedic Associates Pa | Orthopaedic Surgery | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2006-12-11 |
| 1780691386 | Orthopaedics Specialists Surgi-center, LLC | Clinic/Center | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647488 | Julia Siyao Yu | Physician Assistant | 541 Oakdale Rd Apt D, Newark, DE 19713-2928 | 2020-10-20 |
| 1376001990 | Kiley Dale Titus | Physician Assistant | 165 E Union St, Newark, NY 14513-1559 | 2019-03-04 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1750833646 | Rosalyn Hightower | Physician Assistant | 1213 Churchmans Rd, Newark, DE 19713-2149 | 2016-10-26 |
| 1013342757 | Leia Lavoie Collins | Physician Assistant | 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 | 2013-09-12 |
| 1447509179 | Chloe E Dickinson | Physician Assistant | 550 S College Ave Ste 115, Newark, DE 19706-1308 | 2012-09-10 |
| 1447509591 | Drew Pento | Physician Assistant | 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-09-05 |
| 1568711034 | Jacqueline Pellenbarg | Physician Assistant | 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 | 2012-08-30 |
| 1912284530 | Ian A Blizzard | Physician Assistant | 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 | 2011-11-10 |
| 1043596133 | Victoria Leicht | Physician Assistant | 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 | 2011-11-02 |
| Find all providers in NEWARK | ||||
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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.