LONNIE C EDWARDS III (NPI# 1811085798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811085798 |
| Entity Type | Individual |
| Full Name | LONNIE C EDWARDS III |
| Credential | M.D. |
| Practice Address |
Hines Va Hospital 5th & Roosevelt Hines IL 60141 |
| Practice Telephone | 7082028387 |
| Mailing Telephone | 7082028387 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-070490 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457503377 | Lonnie Calvin Edwards II | Case Manager/Care Coordinator | 5553 S Peoria Ave, Tulsa, OK 74105-6800 | 2008-10-22 |
| 1467632513 | Lonnie T Edwards | Psychologist | 625 N Orange St, Wilmington, DE 19801-2296 | 2007-11-06 |
| Street Address |
HINES VA HOSPITAL 5TH & ROOSEVELT |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739415 | Darrell Richard Nemec | Nurse Anesthetist, Certified Registered | Hines Va Hospital, Hines, IL 60141 | 2006-05-19 |
| 1750588471 | Gauri Khatkhate | Psychiatry & Neurology | Hines Va Hospital, Hines, IL 60141 | 2007-06-27 |
| 1659573368 | Vera Jean Cook | Occupational Therapist | Hines Va Hospital, Hines, IL 60141 | 2007-06-04 |
| 1801977269 | Michael J Blacconiere | Psychologist | Hines Va Hospital, 5th Ave & Roosevelt Rd, Hines, IL 60141 | 2006-10-18 |
| 1346339470 | Jeffery P. Naour | Internal Medicine | Hines Va Hospital, Hines, IL 60141 | 2006-10-12 |
| 1326136037 | Jeffrey Ronald Kanofsky | Internal Medicine | Hines Va Hospital, Fifth Avenue & Roosevelt Road, Hines, IL 60141 | 2006-10-10 |
| 1497843353 | Robert S Chimis | Psychologist | Hines Va Hospital, Mental Health Clinic (116a3), Hines, IL 60141 | 2006-10-10 |
| 1578656450 | Sudha Bhoopalam | Internal Medicine | Hines Va Hospital, Hines, IL 60141 | 2006-10-02 |
| 1366542359 | Kristin Margaret Kirchwehm | Specialist/Technologist | Hines Va Hospital, Building 113, Hines, IL 60141 | 2006-09-22 |
| 1811094253 | Jamie Louise Ogarek | Specialist/Technologist | Hines Va Hospital, Building 113, Hines, IL 60141-5000 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144314162 | Sandra Irene Reynertson | Internal Medicine | 5th Avenue and Roosevelt Rd, Medicine Neurology Service Line (111), Hines, IL 60141 | 2006-10-03 |
| 1154412807 | Annming Andy Hsieh | Internal Medicine | Roosevet At 5th Ave, Hines, IL 60141 | 2006-09-27 |
| 1255412193 | Dariush Sam Takhtehchian | Internal Medicine | 5th Roosevelt Road, Edward Hines, Jr Hospital, Hines, IL 60141 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LONNIE C EDWARDS III.
| 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.