EDGE MEDICAL SERVICES INC. (NPI# 1437660115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437660115 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES INC. |
| Practice Address |
2100 E 70th St Shreveport LA 71105-5363 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | HOPE LEWIS (ADMIN) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1659882330 | Edge Medical Services Inc. | Clinic/Center | 25880 Tournament Rd Ste 109, Valencia, CA 91355-2384 | 2017-10-20 |
| 1275044075 | Edge Medical Services Inc. | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2017-10-19 |
| 1265951644 | Edge Medical Services Inc. | Clinic/Center | 9261 Yosemite Blvd, Modesto, CA 95357-1877 | 2017-09-17 |
| 1326567454 | Edge Medical Services Inc. | Clinic/Center | 4709 Westlake Dr, Fort Worth, TX 76132-1514 | 2017-09-09 |
| 1154836914 | Edge Medical Services Inc. | Clinic/Center | 4102 Ailey Ct, Peachtree Corners, GA 30092-2453 | 2017-12-02 |
| 1316451800 | Edge Medical Services Inc. | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2017-11-21 |
| 1295248516 | Edge Medical Services Inc. | Clinic/Center | 225 Inspiration Ln, Covington, LA 70433-7420 | 2017-11-08 |
| 1720590888 | Edge Medical Services Inc. | Clinic/Center | 80 Oak Valley Dr, Spring Hill, TN 37174-2596 | 2017-10-30 |
| 1780195461 | Edge Medical Services Inc. | Clinic/Center | 202 Kenyon Ave, Pawtucket, RI 02861-1669 | 2017-10-20 |
| Street Address |
2100 E 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164933842 | National Birth Centers Inc | Clinic/Center | 2100 E 70th St, Shreveport, LA 71105-5363 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881691194 | Magnolia Rehabiliation Services Inc | Clinic/Center | 2005 Creswell Ave, 4908 P.o.box Shreveport La .71134, Shreveport, LA 71104-2201 | 2005-06-30 |
| 1821225806 | Magnolia Diagonstic Services Inc. | Clinic/Center | 2005 Creswell Ave, Shreveport, LA 71104-2201 | 2009-06-17 |
| 1912053828 | The Center for Therapy, Inc | Clinic/Center | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-01-25 |
| 1386660363 | Christus Health Northern Louisiana | Clinic/Center | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050005 | Ochsner-acadia, LLC | Clinic/Center | 502 Rue De Sante Ste 203, La Place, LA 70068-5424 | 2020-10-15 |
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1487291944 | Sc Rehab | Clinic/Center | 1810 Florida Ave Sw Ste A, Denham Springs, LA 70726-4930 | 2019-12-04 |
| 1063071918 | Medical Pioneers, LLC | Clinic/Center | 100 Mariners Blvd Ste 1b, Mandeville, LA 70448-6815 | 2019-06-12 |
| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1356808430 | Cenikor Foundation | Clinic/Center | 2414 Bunker Hill Dr Ste 100, Baton Rouge, LA 70808-3303 | 2019-02-26 |
| 1063983799 | Accessible Walk-in Clinic | Clinic/Center | 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953 | 2018-12-06 |
| 1235616194 | Pathways Addiction Recovery, LLC | Clinic/Center | 3801 Houma Blvd Ste 100, Metairie, LA 70006-4185 | 2018-07-24 |
| 1063915866 | Gulf Coast Medical Center | Clinic/Center | 51 Holmes Blvd Ste A, Terrytown, LA 70056-2592 | 2018-03-18 |
| 1912436213 | Third Hand Assisting Inc | Clinic/Center | Po Box 141, Talisheek, LA 70464-0141 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on EDGE MEDICAL SERVICES INC..
| 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.