SYDNEY EDWARDS (NPI# 1770117541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770117541 |
Entity Type | Individual |
Full Name | SYDNEY EDWARDS |
Credential | PA-C |
Practice Address |
1441 Florida Ave Modesto CA 95350-4418 |
Mailing Address |
1672 N Kellogg St Galesburg IL 61401-1845 |
Practice Telephone | 2095781211 |
Mailing Telephone | 3092996020 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1441 FLORIDA AVE |
City | MODESTO |
State | CA |
Zip Code | 95350-4418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326044876 | Suhail Rahhal | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2005-06-21 |
1629603667 | Avinesh Prakash | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
1437784469 | Jose L Bazan | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
1003466756 | Jessica Izelle Whipkey | Pharmacy Technician | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-09-16 |
1538715040 | Antoinette Marie Nguyen | Registered Nurse | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-08-12 |
1588229637 | Janel Mark | Perfusionist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-05-03 |
1437713799 | Kunal Panwar | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-23 |
1275196099 | Billy Huynh | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-17 |
1063075067 | Herbert Mao | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-16 |
1780247916 | Farrah Mousli | Family Medicine | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497895775 | Donald Scott Paulsen | Physician Assistant | 3204 Wycliffe Dr, Modesto, CA 95355-4738 | 2007-02-07 |
1417042870 | Jennifer Lee Zimmerman | Physician Assistant | 1441 Florida Ave., Modesto, CA 95352 | 2006-10-03 |
1568453801 | Larry Charles Hicks | Physician Assistant | 1441 Florida, Modesto, CA 95352 | 2005-11-04 |
1942290416 | Jaimie C Cossey | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2005-10-26 |
1184084980 | Karen Michelle Barbe | Physician Assistant | 1329 Spanos Ct, Suite B4, Modesto, CA 95355-2806 | 2016-03-07 |
1992000343 | Stephan Robert Morey | Physician Assistant | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2011-01-17 |
1033240833 | Stacy Garrison | Physician Assistant | 4601 Dale Rd, Modesto, CA 95356-9718 | 2007-03-07 |
1710044888 | David Dean Nisley | Physician Assistant | 1441 Florida Ave, Neurosurgery Pa, Modesto, CA 95350-4405 | 2007-01-02 |
1356406904 | David Howard Fisher | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-12-26 |
1871605576 | Naoki Miyakawa | Physician Assistant | 1335 Coffee Rd Ste 100, Modesto, CA 95355-3192 | 2006-08-31 |
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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.