DR. JESS DAVID EDISON (NPI# 1548246952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548246952 |
| Entity Type | Individual |
| Full Name | DR. JESS DAVID EDISON |
| Credential | M.D. |
| Practice Address |
Walter Reed National Military Ctr 4954 North Palmer Road Bethesda MD 20889-0001 |
| Mailing Address |
9400 Linden Ave Bethesda MD 20814-1605 |
| Practice Telephone | 3012954512 |
| Mailing Telephone | 3012954512 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2015-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 21392 | NE | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
21392 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
WALTER REED NATIONAL MILITARY CTR 4954 NORTH PALMER ROAD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101615 | Victor S Schneider | Specialist | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-08-12 |
| 1457887432 | Brent Denn Nose | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-11 |
| 1508392606 | Daniel Mitsuhiro Zink | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-10 |
| 1659807964 | Donald Francis Colantonio IIi | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2017-05-05 |
| 1033645353 | Stephanie Ajuzie | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 4494 North Palmer Road, Building 10, 1st Floor, Room 10, Bethesda, MD 20889-0001 | 2017-05-05 |
| 1649705351 | Patrick Bagley | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-5669 | 2017-05-01 |
| 1578098729 | Gina Hyun | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-25 |
| 1053846568 | Coursen Schneider | Pediatrics | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-23 |
| 1609300276 | Alex Stanley Peters | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
| 1669906236 | Yarrow Sheldon | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306161732 | Raphaela Goldbach-mansky | Internal Medicine | Nih Niams, Bldg10 Rm 6d-47b 10 Center Dr, Bethesda, MD 20892-0001 | 2010-03-29 |
| 1609019181 | Gabor Illei | Internal Medicine | 10 Center Dr Rm 1n110, Bethesda, MD 20892-0001 | 2009-04-13 |
| 1043457690 | Nona T Colburn | Internal Medicine | 5121 Dudley Ln, #201, Bethesda, MD 20814-5454 | 2009-01-18 |
| 1720238744 | Michael Matthew Ward | Internal Medicine | 10 Center Drive National Institutes of Health, Building 10 Crc, Room 4-1339, Bethesda, MD 20892-0001 | 2008-09-26 |
| 1942417555 | Larissa Lapteva | Internal Medicine | 9000 Rockville Pike, Nih, Bldg 10, Op-9, Bethesda, MD 20814 | 2007-05-16 |
| 1740304617 | Ronald Lynn Wilder | Internal Medicine | 10319 Westlake Dr Ste 213, Bethesda, MD 20817-6403 | 2007-03-18 |
| 1235205691 | Rosemarie Hirsch | Internal Medicine | 10 Center Drive Msc 1517 Rm 2-1733, Pain & Palliative Care Service, Nih, Bethesda, MD 20892-0001 | 2006-11-28 |
| 1992896609 | Robert Hill Carter | Internal Medicine | 31 Center Dr, Msc 2350 Bldg 31 Rm 4c32, Bethesda, MD 20892-2350 | 2006-09-27 |
| 1629084231 | James P Witter | Internal Medicine | 6701 Democracy Blvd, Suite, Bethesda, MD 20892 | 2006-08-01 |
| 1861496846 | Madalene K Greene | Internal Medicine | 10401 Old Georgetown Rd, Ste 305, Bethesda, MD 20814-1911 | 2005-06-08 |
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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.