JON H EDWARDS (NPI# 1295716660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295716660 |
| Entity Type | Individual |
| Full Name | JON H EDWARDS |
| Credential | MD |
| Practice Address |
771 West End Ave New York NY 10025-5572 |
| Mailing Address |
23625 Commerce Park Suite 204 Beachwood OH 44122 |
| Practice Telephone | 2162555700 |
| Practice Fax Number | 2162555701 |
| Mailing Telephone | 2162555701 |
| Mailing Fax Number | 2162555701 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2014-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
130277 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE WEST | 34195845144193 | 01 | |
| SD | 7201480 | 05 | |
| NY | BCBS | 784T9 | 01 |
| ID | 807444100 | 05 | |
| AZ | 124078 | 05 | |
| NY | RXR MEDICARE | P00285375 | 01 |
| NY | 00729680 | 05 | |
| OH | 2650215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174007496 | Jon D. Edwards | Counselor | 50 Oakland St, Wellesley Hills, MA 02481-5307 | 2018-09-21 |
| 1598035636 | Jon Michael Edwards | Pharmacist | 4490 E 14th St, Brownsville, TX 78521-3240 | 2012-01-06 |
| Street Address |
771 WEST END AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-5572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720451 | Christophe Cloutier Lambert | Radiology | 1233 York Ave Apt 6m, New York, NY 10065-6342 | 2019-09-23 |
| 1437702727 | Pamela Ines Causa Andrieu | Radiology | 1233 York Ave Apt 19l, New York, NY 10065-6342 | 2019-07-16 |
| 1689231235 | Midtown Diagnostic Group, Inc | Radiology | 353 W 48th St Ste 450, New York, NY 10036-1324 | 2019-05-20 |
| 1659841013 | Midtown West Radiology P.C. | Radiology | 35 Seacoast Terrace, #20n, New York, NY 11235 | 2018-11-28 |
| 1407380272 | Joseph Charles Herring | Radiology | 506 Lenox Ave # Mlk6201, New York, NY 10037-1802 | 2017-04-18 |
| 1639542939 | Kolb Radiology P.C. | Radiology | 307 E 60th St, New York, NY 10022-1505 | 2015-11-09 |
| 1346645652 | Srm Radiology Associates PC | Radiology | 639 W End Ave, #pha, New York, NY 10025-7343 | 2014-10-29 |
| 1366882425 | Christopher John Burke | Radiology | 545 1st Ave # Gbhc124, New York, NY 10016-6401 | 2013-07-03 |
| 1356784490 | Jeffrey Michael Gnerre | Radiology | 150 E 42nd St Fl 4, New York, NY 10017 | 2013-04-08 |
| 1205179686 | James Bai | Radiology | 660 1st Ave Fl 1, New York, NY 10016-3295 | 2013-04-03 |
| Find all providers in NEW YORK | ||||
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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.