ELLYN MAE EDWARDS (NPI# 1801363023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801363023 |
| Entity Type | Individual |
| Full Name | ELLYN MAE EDWARDS |
| Credential | PA-C |
| Practice Address |
8402 Harcourt Rd Ste 420 Indianapolis IN 46260-2053 |
| Mailing Address |
250 W 96th St # 520 Indianapolis IN 46260-1316 |
| Practice Telephone | 3174156740 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10002590A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8402 HARCOURT RD STE 420 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067196 | Laura Erin Long | Physician Assistant | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2005-07-18 |
| 1932579778 | Ana Michelle Kiely | Nurse Practitioner | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2015-10-06 |
| 1215203559 | Megan Elyse Buechel | Obstetrics & Gynecology | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2012-03-30 |
| 1376810820 | Wendy M Fodstad | Physician Assistant | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2011-11-29 |
| 1811211519 | Hilary D Hinshaw | Obstetrics & Gynecology | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2010-03-24 |
| 1760656508 | Sarah Goodrich | Obstetrics & Gynecology | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2008-04-14 |
| 1548396492 | Michael Callahan | Obstetrics & Gynecology | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260 | 2007-02-26 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| 1154843704 | Jennifer Trapuzzano | Physician Assistant | 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 | 2017-07-14 |
| 1154879666 | Grace Schultz | Physician Assistant | 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 | 2016-09-13 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| 1386040046 | Maham Mushtaq | Physician Assistant | 5759 James Blair Dr, Indianapolis, IN 46234-3226 | 2014-11-07 |
| 1285030924 | Margaret Anne Voelker-park | Physician Assistant | 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 | 2014-11-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on ELLYN MAE 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.