JEREMY ROBERT EDMISTON (NPI# 1215131842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215131842 |
| Entity Type | Individual |
| Full Name | JEREMY ROBERT EDMISTON |
| Credential | D.O. |
| Practice Address |
4110 Warrensville Center Rd Beachwood OH 44122-7024 |
| Mailing Address |
1755 Lockwood Oval Twinsburg OH 44087-2508 |
| Practice Telephone | 2164916000 |
| Mailing Telephone | 2164101755 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.008886 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4110 WARRENSVILLE CENTER RD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902124035 | Michelle Ferrer Wallen | Emergency Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2010-05-13 |
| 1598083628 | Valerie Ann Erdman | Internal Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2010-05-13 |
| 1437477569 | Nicholas Randolph Erdman | Emergency Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2010-05-13 |
| 1669613592 | Lili Ann Lustig | Family Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2009-03-24 |
| 1326234394 | Linda D Pasek | Clinical Nurse Specialist | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-09-24 |
| 1003006727 | Katherine Anne Gambacorta | Anesthesiology | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-07-30 |
| 1275723215 | Abelash Kattangur Reddy | Anesthesiology | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-07-26 |
| 1942406459 | Gregory Mathew Skowronski | Student in an Organized Health Care Education/Training Program | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-06-22 |
| 1992909527 | Brian Andrew Romito | Student in an Organized Health Care Education/Training Program | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-06-14 |
| 1346443132 | Rebecca Jean Chamberlain | Emergency Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053495002 | Leonard D. Hendricks | Emergency Medicine | 25450 Fairmount Blvd, Beachwood, OH 44122-2265 | 2006-10-25 |
| 1902291800 | Frank Forde | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2015-03-30 |
| 1467883934 | Ues Ahuja LLC | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2013-12-09 |
| 1376802231 | Steven Wayne Suggs Jr. | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2012-05-14 |
| 1114227840 | University Primary Care Practices Inc | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2010-10-28 |
| 1902124035 | Michelle Ferrer Wallen | Emergency Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2010-05-13 |
| 1437477569 | Nicholas Randolph Erdman | Emergency Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2010-05-13 |
| 1780828905 | Michelle Glaser Beskid | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2009-05-01 |
| 1992941991 | Amy Marie Pound | Emergency Medicine | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2008-12-21 |
| 1346443132 | Rebecca Jean Chamberlain | Emergency Medicine | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2007-06-08 |
| Find all providers in BEACHWOOD | ||||
Please comment or provide details below to improve the information on JEREMY ROBERT EDMISTON.
| 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.