MARK A EDWARDS (NPI# 1669471736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669471736 |
| Entity Type | Individual |
| Full Name | MARK A EDWARDS |
| Credential | M.D. |
| Practice Address |
8240 Naab Road Suite 100 Indianapolis IN 46260 |
| Mailing Address |
11541 E Winchester Ln Ellicott City MD 21042-2040 |
| Practice Telephone | 3173387450 |
| Practice Fax Number | 3173387457 |
| Mailing Telephone | 8332202685 |
| Mailing Fax Number | 3179470839 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01033757A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100129200 | 05 | |
| IN | TRICARE | 1009224 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246189 | Mark Savage Edwards | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Ste 40, Orange, CA 92868-3201 | 2019-03-27 |
| 1083703763 | Mark Todd Edwards | Dentist | 6000 Jfh Parkway, Suite A, Adairsville, GA 30103 | 2006-10-12 |
| 1972606341 | Mark Allen Edwards | Dentist | 1161 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5332 | 2006-09-07 |
| 1437266632 | Mark Alan Edwards | Nurse Anesthetist, Certified Registered | 350 Louisiana Ave, Libby, MT 59923-2130 | 2006-08-24 |
| 1760492318 | Mark C. Edwards | Dentist | 4830 Quail Crest Pl Ste A, Lawrence, KS 66049-3842 | 2006-08-08 |
| 1295742674 | Mark S Edwards | Pharmacist | 108 Lake Point Dr, Richmond, KY 40475-3821 | 2006-08-01 |
| 1184647166 | Mark S. Edwards | Internal Medicine | 2195 West St, Germantown, TN 38138-3830 | 2006-07-25 |
| 1689694788 | Mark J. Edwards | Chiropractor | 294 State Highway 7, Sidney, NY 13838-2716 | 2006-07-20 |
| 1760430284 | Mark S Edwards | Family Medicine | 210 E. Harris, San Angelo, TX 76903 | 2006-05-05 |
| 1386645554 | Mark Edwards | Emergency Medicine | 4713 Highway 90, Pace, FL 32571-1403 | 2005-08-09 |
| Street Address |
8240 NAAB ROAD SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097338 | Douglas J Kaderabek | Surgery | 8240 Naab Road, Suite 100, Indianapolis, IN 46260 | 2005-07-18 |
| 1083762660 | Naab Road Surgical Group PC | Surgery | 8240 Naab Road, Suite 100, Indianapolis, IN 46260 | 2007-01-08 |
| 1417961103 | Theodore F Holland IIi | Urology | 8240 Naab Road, Suite 200, Indianapolis, IN 46260-1986 | 2006-07-28 |
| 1104888098 | Lewis E Jacobson | Surgery | 8240 Naab Road, Suite 100, Indianapolis, IN 46260 | 2006-04-05 |
| 1568434827 | Denise A Flanagan | Dentist | 8240 Naab Road, Ste 355, Indianapolis, IN 46260 | 2006-02-02 |
| 1558360065 | Thomas T Tigges | Surgery | 8240 Naab Road, Suite 100, Indianapolis, IN 46260 | 2005-07-18 |
| 1740289255 | John A. Isch | Surgery | 8240 Naab Road, Suite 100, Indianapolis, IN 46260 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1407293566 | Harry Dwight Brickley Jr. | Surgery | 1037 Tuckahoe, Indianapolis, IN 46260 | 2013-05-30 |
| 1992044572 | John Duncan Macdougall | Surgery | 7202 Dean Rd, Indianapolis, IN 46240-3628 | 2013-02-02 |
| 1548524176 | Jeffrey Lastfogel | Surgery | 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 | 2012-06-28 |
| 1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
| 1679832463 | Kalyan Chowdary Gorantla | Surgery | 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 | 2012-05-14 |
| 1124306824 | Amanda Rae Stram | Surgery | 1426 E Vermont St, Indianapolis, IN 46201-3045 | 2011-07-28 |
| 1790071280 | Sanjay Mohanty | Surgery | 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 | 2011-06-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.