DR. ROGER EDWARDS (NPI# 1447237458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447237458 |
| Entity Type | Individual |
| Full Name | DR. ROGER EDWARDS |
| Credential | DO |
| Practice Address |
956 N Eisenhower Dr Beckley WV 25801-3114 |
| Practice Telephone | 6812385258 |
| Practice Fax Number | 6812385700 |
| Mailing Telephone | 6812385258 |
| Mailing Fax Number | 6812385700 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 993 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0041038000 | 05 | |
| WV | WV BCBS | 001718049 | 01 |
| WV | WV DWC | 1053516 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736937 | Roger Dean Edwards | Emergency Medical Technician, Intermediate | 4061 Minnesota Ave Ne, Washington, DC 20019-3541 | 2017-08-22 |
| 1760640858 | Roger Glosson Edwards | Counselor | 413 S Sharon Amity Rd Ste B, Charlotte, NC 28211-2881 | 2008-05-27 |
| 1740321611 | Roger Charles Edwards | Physical Therapist | 1801 W Maumee St, Ste 125, Adrian, MI 49221-1291 | 2007-02-12 |
| Street Address |
956 N EISENHOWER DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336604750 | Dana Shae Froble | Nurse Practitioner | 956 N Eisenhower Dr, Beckley, WV 25801-3114 | 2019-02-11 |
| 1679917553 | Ge Bariatric & Anti-aging Solutions, LLC | Clinic/Center | 956 N Eisenhower Dr, Beckley, WV 25801-3114 | 2013-04-23 |
| 1821341132 | Ashley D Jarrell | Nurse Practitioner | 956 N Eisenhower Dr, Beckley, WV 25801-3114 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1346411600 | Medexpress Urgent Care, Pllc - Beckley | Emergency Medicine | 1709 Harper Road, Beckley, WV 25801-3311 | 2008-03-14 |
| 1215986807 | Jasdeep Singh Dalawari | Emergency Medicine | 1256 N Eisenhowder Drive, Beckley, WV 25801-3120 | 2006-05-09 |
| 1700159027 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 520 Beckley Crossing Shpg Ctr, Beckley, WV 25801-7110 | 2012-02-16 |
| 1740550995 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 1709 Harper Rd, Beckley, WV 25801-3311 | 2012-01-05 |
| 1316177728 | Preety Bhatti | Emergency Medicine | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2009-07-20 |
| 1376757674 | Beckley Emergency Physicians LLC | Emergency Medicine | 306 Stanaford Rd, Emergency Room, Beckley, WV 25801-3142 | 2007-05-09 |
| 1447274857 | James Stuart Lewis | Emergency Medicine | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-07-27 |
| 1831118678 | Sheila Patel | Emergency Medicine | 1710 Harper Rd, Beckley, WV 25801-3357 | 2006-07-19 |
| 1639198377 | Jose S Romero | Emergency Medicine | 1710 Harper Rd, Beckley, WV 25801-3357 | 2006-07-19 |
| 1326064486 | Fred Patrick Tzystuck II | Emergency Medicine | 1710 Harper Rd, Beckley, WV 25801-3357 | 2006-07-14 |
| Find all providers in BECKLEY | ||||
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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.