DR. JEREMY VAUGHAN EDWARDS (NPI# 1548269285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548269285 |
| Entity Type | Individual |
| Full Name | DR. JEREMY VAUGHAN EDWARDS |
| Credential | D.O. |
| Practice Address |
4494 North Palmer Road Department of Pediatrics Bethesda MD 20889-5001 |
| Mailing Address |
21320 Ridgecroft Dr Brookeville MD 20833-1818 |
| Practice Telephone | 3014003327 |
| Mailing Telephone | 8082339121 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | DOS951 | HI | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
DOS951 | HI | Allopathic & Osteopathic Physicians |
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
DOS951 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992172407 | Jeremy Richard Edwards | Dentist | 3208 Crane Ferry Rd, Augusta, GA 30907-3771 | 2015-09-01 |
| 1003220039 | Jeremy Alan Edwards | Student in an Organized Health Care Education/Training Program | 1930 Alcoa Hwy, A-335, Knoxville, TN 37920-1500 | 2014-06-18 |
| 1619280294 | Jeremy Kiyoshi Aoki Edwards | Optometrist | 950 Tharp Rd, Suite 1500, Yuba City, CA 95993-8344 | 2010-07-23 |
| Street Address |
4494 NORTH PALMER ROAD DEPARTMENT OF PEDIATRICS |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-5001 |
| 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 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073884292 | Pediatric Comfortcare, LLC | Pediatrics | 10300 Crown Point Ct, Potomac, MD 20854-3901 | 2012-01-19 |
| 1538377213 | Gregory Mark Glenn | Pediatrics | 14525 Montevideo Rd, Poolesville, MD 20837-8858 | 2007-05-18 |
| 1679780159 | Necole Elease Washington | Pediatrics | 2905 Mitchellville Rd, Suite 108, Bowie, MD 20716-1385 | 2007-05-16 |
| 1528272192 | Peninsula Regional Medical Center | Pediatrics | 100 E Carroll St, Patient Accounts, Salisbury, MD 21801-5422 | 2007-05-10 |
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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.