EVERTON A EDMONDSON MD PA (NPI# 1659312742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659312742 |
| Entity Type | Organization |
| Organization Name | EVERTON A EDMONDSON MD PA |
| Other Organization Name | INTERVENTIONAL NEUROLOGY |
| Practice Address |
6560 Fannin St Suite 1234 Houston TX 77030-2761 |
| Practice Telephone | 7137971180 |
| Practice Fax Number | 7137970641 |
| Mailing Telephone | 7137971180 |
| Mailing Fax Number | 7137970641 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | EVERTON ANTHONY EDMONDSON (CEO) |
| Authorized Official Telephone | 7137971180 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G9451 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G9451 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 190246201 | 05 | |
| TX | BLUE CROSS | 8AJ445 | 01 |
| Other Name | Type Code |
|---|---|
| Interventional Neurology | Other Name - Individual/Organization |
| Street Address |
6560 FANNIN ST SUITE 1234 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797130 | Terry D Taylor | Dentist | 6560 Fannin St, Ste 614, Houston, TX 77030-2727 | 2005-06-01 |
| 1275182701 | Maria Graziela Putnam | Pharmacist | 6560 Fannin St, Houston, TX 77030-2761 | 2019-09-07 |
| 1205488285 | Danish Kherani | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Houston, TX 77030-2761 | 2019-07-10 |
| 1497216477 | Sanaa A Karim | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Houston, TX 77030-2761 | 2019-03-30 |
| 1477070944 | Line Kastrup Hinojosa | Nurse Practitioner | 6560 Fannin St, Houston, TX 77030-2761 | 2017-08-25 |
| 1669905410 | Bradley Steven Daniels | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, #900, Houston, TX 77030-2761 | 2017-04-09 |
| 1609308279 | Samuel Kwabena Asante | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Scurlock Tower, 9th Floor (st944), Houston, TX 77030-2761 | 2017-04-01 |
| 1437680204 | Kenan Celtik | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Suite 2100, Houston, TX 77030-2761 | 2017-03-23 |
| 1124568324 | Samantha Boggs | Nurse Practitioner | 6560 Fannin St, Suite 2050, Houston, TX 77030-2761 | 2017-03-07 |
| 1518419969 | Taryn Marie Sheldon | Physician Assistant | 6560 Fannin St, Suite 1842, Houston, TX 77030-2761 | 2016-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1548755093 | G. Martin Rossi, M.d, P.a. | Psychiatry & Neurology | 915 Gessner Rd Ste 550, Houston, TX 77024-2571 | 2018-06-27 |
| 1104317791 | Andy Tang Lin | Psychiatry & Neurology | 6560 Fannin St Fl 8, Houston, TX 77030-2761 | 2018-05-20 |
| 1952826992 | Neuronetwork Neurologists | Psychiatry & Neurology | 9301 Southwest Fwy Ste 640, Houston, TX 77074-1510 | 2017-08-10 |
| 1730613530 | Peak Neurodiagnostics, LLC | Psychiatry & Neurology | 4141 Southwest Fwy Ste 410, Houston, TX 77027-7422 | 2017-04-18 |
| 1336694033 | Perioperative Surgical Consultants | Psychiatry & Neurology | 5300 N Braeswood Blvd # 127, Houston, TX 77096-3307 | 2016-08-23 |
| 1609225325 | Pro Oracle, LLC | Psychiatry & Neurology | 10330 Lake Rd Suite E, Houston, TX 77070 | 2016-06-03 |
| 1275996175 | Christine Rizk | Psychiatry & Neurology | 2300 Old Spanish Trl Apt 1048, Houston, TX 77054-2138 | 2016-03-30 |
| 1295197770 | Jonathan Greco | Psychiatry & Neurology | 6431 Fannin St Ste 7044, Houston, TX 77030-1501 | 2016-03-24 |
| 1487035036 | Neurology Associates of Katy Pllc | Psychiatry & Neurology | 19255 Park Row Ste 101, Houston, TX 77084-7309 | 2015-06-09 |
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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.