DOUGLAS EDWARDS (NPI# 1790847598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790847598 |
| Entity Type | Individual |
| Full Name | DOUGLAS EDWARDS |
| Practice Address |
5756 Highway 153 Hixson TN 37343-6703 |
| Practice Telephone | 4238759374 |
| Mailing Telephone | 4238759374 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7617 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316037393 | Douglas J Edwards | Chiropractor | 1340 W Main St, Albert Lea, MN 56007-1800 | 2006-10-13 |
| 1528615002 | Douglas Chase Edwards | Physical Therapist | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2019-08-20 |
| 1033772496 | Douglas Edwards | Counselor | 118 Douglas St, Fayetteville, NC 28312-5310 | 2019-04-20 |
| 1255878104 | Douglas G. Edwards | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Oral Surgery, Shreveport, LA 71103-4228 | 2017-01-30 |
| 1114399185 | Douglas David Edwards | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-10-29 |
| 1992724678 | Douglas Kent Edwards | Dentist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2006-07-19 |
| 1912949876 | Douglas Alan Edwards | Dentist | 701 Enterprise Rd E, Suite 201, Safety Harbor, FL 34695-5350 | 2006-06-12 |
| 1225015241 | Douglas Wayne Edwards | Specialist/Technologist | 7931 Bond St, Lenexa, KS 66214-1557 | 2005-12-30 |
| 1679556484 | Douglas T. Edwards | Ophthalmology | 800 N 1st St, Wausau, WI 54403-4754 | 2005-11-25 |
| Street Address |
5756 HIGHWAY 153 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708151 | Craig Smith | Hearing Instrument Specialist | 5756 Highway 153, Hixson, TN 37343-6703 | 2019-12-30 |
| 1811351158 | National Vision, Inc. | Technician/Technologist | 5756 Highway 153, Ste 120, Hixson, TN 37343-6703 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447687009 | Primesh Modi | Dentist | 5550 Highway 153 Ste 100, Hixson, TN 37343-4991 | 2013-09-27 |
| 1285920058 | Daniel Edwards | Dentist | 5550 Highway 153, Hixson, TN 37343-4989 | 2011-06-21 |
| 1578739223 | Stewart Lawwill IIi | Dentist | 5109 Skillern Dr, Hixson, TN 37343-3262 | 2008-05-02 |
| 1710170980 | Martin Knox Long Sr. | Dentist | 4841 Hixson Pike Ste G, Hixson, TN 37343-4431 | 2007-08-21 |
| 1790905842 | Southeastern Dental Associates of Hixson | Dentist | 1963 Northpoint Blvd., Suite 113, Hixson, TN 37343 | 2007-04-30 |
| 1689792657 | Mary Beth Peaks | Dentist | 4611 Hixson Pike, Hixson, TN 37343-5034 | 2007-03-27 |
| 1841317633 | Jerrie Jonakin Raines, D.d,s.,pllc | Dentist | 4845 Hixson Pike Ste C, Hixson, TN 37343-4466 | 2007-03-25 |
| 1861528739 | Thomas Capley Kisling | Dentist | 5213 Hixson Pike, Hixson, TN 37343-3928 | 2007-02-26 |
| 1861549230 | Michael Jerry Ward | Dentist | 4843 Hixson Pike Ste B, Hixson, TN 37343-4478 | 2007-01-05 |
| 1659450583 | Dennis Keith Daw | Dentist | 2120 Northpoint Blvd, Hixson, TN 37343-4098 | 2006-11-02 |
| Find all providers in HIXSON | ||||
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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.