JERRY V EDWARDS (NPI# 1801839931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801839931 |
| Entity Type | Individual |
| Full Name | JERRY V EDWARDS |
| Credential | P.A. |
| Practice Address |
6410 Fannin St 1020 Houston TX 77030-3000 |
| Mailing Address |
Po Box 201088 Houston TX 77216-1088 |
| Practice Telephone | 8323257090 |
| Mailing Telephone | 7135003500 |
| Mailing Fax Number | 7135122238 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00354 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183223001 | 05 | |
| TX | BCBS | 87N145 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659700177 | Jerry Keith Edwards | Nurse Practitioner | 501 Hickory Branch Rd, Greensboro, NC 27409-9601 | 2013-11-05 |
| 1689960775 | Jerry S Edwards | Pharmacist | 914 Tait St.reet, Oceanside, CA 92054 | 2011-06-27 |
| 1457321820 | Jerry L Edwards | Emergency Medicine | 3412 Staunton Ave Se, Charleston, WV 25304-1327 | 2006-01-26 |
| 1053862268 | Jerry Edwards | Counselor | 3660 Gally Rd, Pahrump, NV 89060-2321 | 2016-10-23 |
| 1043554520 | Jerry Lynn Edwards | Physical Therapy Assistant | 45390 Green Ave, Callahan, FL 32011-3711 | 2012-11-21 |
| Street Address |
6410 FANNIN ST 1020 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758130 | Raymond A. Martin | Psychiatry & Neurology | 6410 Fannin St, Ste 1014, Houston, TX 77030-3000 | 2005-05-26 |
| 1841803756 | Bethany Wright Moura | Pediatrics | 6410 Fannin St, Houston, TX 77030-3000 | 2020-08-29 |
| 1922637255 | Brittany Dionne Jones-linares | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite Msb 4.020, Houston, TX 77030-3000 | 2020-04-08 |
| 1952933756 | Tania E De Los Reyes | Dietitian, Registered | 6410 Fannin St, Houston, TX 77030-3000 | 2020-02-10 |
| 1295296218 | Braden Fraser Goldberg | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2019-03-31 |
| 1073089827 | Alana Claire Cecchi | Genetic Counselor, MS | 6410 Fannin St, Houston, TX 77030-3000 | 2018-10-19 |
| 1609350370 | Dianna Joann Schmeda | Nurse Practitioner | 6410 Fannin St, Suite 950, Houston, TX 77030 | 2018-09-19 |
| 1770073645 | April Laquinta Moore | Nurse Practitioner | 6410 Fannin St, Houston, TX 77030-3000 | 2018-05-15 |
| 1639669872 | Ezra Yujin Koh | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 1400, Houston, TX 77030-3000 | 2018-05-14 |
| 1093210163 | Mesk Alrais | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1619526563 | Uma Surgical Assistant Services, LLC. | Physician Assistant | 4517 Benning Dr, Houston, TX 77035-6005 | 2019-09-04 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1558829598 | Charlotte Peeters | Physician Assistant | 6621 Fannin St Ste D0600.33, Houston, TX 77030-2358 | 2019-03-08 |
| 1689148702 | Erin Danielle Schulte | Physician Assistant | 3 Hermann Museum Circle Dr Apt 4414, Houston, TX 77004-7969 | 2019-01-12 |
| 1972074532 | Nationwide Surgical Resources LLC | Physician Assistant | 7600 Burgoyne Rd Unit 207, Houston, TX 77063-3104 | 2018-12-07 |
| 1891264446 | Taylor K Rubin | Physician Assistant | 1140 Business Center Dr Ste 101, Houston, TX 77043-2740 | 2018-11-13 |
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
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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.