DR. CHARLES B EDWARDS (NPI# 1730308834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730308834 |
| Entity Type | Individual |
| Full Name | DR. CHARLES B EDWARDS |
| Credential | MD |
| Practice Address |
1160 E 3900 S Suite #4100 Salt Lake City UT 84124-1202 |
| Practice Telephone | 8012683800 |
| Practice Fax Number | 8012683997 |
| Mailing Telephone | 8012683800 |
| Mailing Fax Number | 8012683997 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1821371170 | Charles Harvey Edwards | Pharmacist | 9201 Old Henry Rd, Louisville, KY 40245-6003 | 2011-09-23 |
| 1538466206 | Charles Louis Edwards | Internal Medicine | 1137 Took Pl, Florence, SC 29505-6482 | 2011-02-16 |
| 1063505972 | Charles Lindsay Edwards | Psychiatry & Neurology | 17860 Wards Ferry Rd, Sonora, CA 95370-8655 | 2006-10-02 |
| 1477656064 | Charles M Edwards Jr. | Dentist | 774 N Edgewood Ave, Jacksonville, FL 32254 | 2006-09-07 |
| 1447291067 | Charles Christopher Edwards | Internal Medicine | 4315 Diplomacy Drive, Anchorage, AK 99508-5926 | 2006-06-08 |
| 1013966019 | Charles L Edwards | Dentist | 5509 Young St, Bakersfield, CA 93311-9648 | 2006-05-08 |
| 1386621316 | Charles Archer Edwards | Chiropractor | 749 E Main St, Barnesville, OH 43713-1456 | 2005-12-30 |
| 1336690189 | Charles Freemen Edwards | Peer Specialist | 537 Se Alder St, Portland, OR 97214-2231 | 2016-10-17 |
| 1639574288 | Charles Warren Edwards | Physical Therapist | 73 Old Dublin Pike, Suite 6, Doylestown, PA 18901-2491 | 2014-10-24 |
| Street Address |
1160 E 3900 S SUITE #4100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414017 | Edward W Ganellen | Internal Medicine | 1160 E 3900 S, Suite 2000, Salt Lake City, UT 84124-1202 | 2005-08-17 |
| 1962853432 | Nicholas J. Paulk Md, PC | Surgery | 1160 E 3900 S, Ste 4100, Salt Lake City, UT 84124-1202 | 2016-06-27 |
| 1174988489 | Michael Pulley | Physician Assistant | 1160 E 3900 S, Siuite 5000, Salt Lake City, UT 84124-1202 | 2015-12-31 |
| 1972972883 | Aaron Adams | Nurse Practitioner | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1236 | 2015-09-21 |
| 1578962700 | Marc Waters | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-08-13 |
| 1538576673 | Heidi Favero | Nurse Practitioner | 1160 E 3900 S, Ste 3500, Salt Lake City, UT 84124-1202 | 2014-07-21 |
| 1255744017 | Tyler Williamson | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-06-09 |
| 1922342732 | St. Mark's Physician Billing, LLC | Clinic/Center | 1160 E 3900 S, Ste G200, Salt Lake City, UT 84124-1202 | 2012-11-16 |
| 1043561517 | Ashley Majoskey | Physician Assistant | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1202 | 2012-09-25 |
| 1437446168 | Mountainstar Cardiology St Marks LLC | Internal Medicine | 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437533932 | Krystal Ahlstrom | Specialist | 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 | 2015-07-14 |
| 1528460607 | John Miller Holman Jr. | Specialist | 4765 S Ichabod St, Salt Lake City, UT 84117-6461 | 2014-09-21 |
| 1750795423 | Judy Denise Wall | Specialist | 4425 S Camille St, Salt Lake City, UT 84124-3624 | 2014-06-20 |
| 1821434424 | Robert Bradley Wray | Specialist | 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 | 2013-05-22 |
| 1295170850 | Rodolphe Ruffy | Specialist | 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 | 2013-05-08 |
| 1063857159 | Afshin Ahmadiyan | Specialist | 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 | 2013-05-03 |
| 1508112426 | Floyd Jackson Millet | Specialist | 2015 Scenic Dr, Salt Lake City, UT 84108-3317 | 2012-07-29 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1437422995 | Brent Farr Robertson | Specialist | 1321 E South Temple, 5, Salt Lake City, UT 84102-1830 | 2012-02-14 |
| 1861787756 | William Halls | Specialist | 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 | 2011-06-18 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on DR. CHARLES B EDWARDS.
| 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.