DAVID SANJEEV EDWARDS (NPI# 1811195472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811195472 |
| Entity Type | Individual |
| Full Name | DAVID SANJEEV EDWARDS |
| Credential | M.D. |
| Practice Address |
3601 4th St Ms 8143 Lubbock TX 79430-0002 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067432757 |
| Practice Fax Number | 8067432563 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
N3628 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | N3628 | TX | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
N3628 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | N3628 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200507620A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405598 | David H Edwards | Specialist/Technologist | 11230 Y St, Omaha, NE 68137-4671 | 2019-12-23 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1013393685 | David Ross Edwards | Family Medicine | Gartree Medical Clinic, #510-4400-32nd St., Vernon, BC V1T9H2 | 2015-08-06 |
| 1326342262 | David Steller Edwards | Emergency Medicine | 26335 74th Ave, 1st Floor, Glen Oaks, NY 11004-1140 | 2011-01-07 |
| 1679807341 | David James Edwards | Physical Therapist | 50843 Valley Plaza Dr, Saint Clairsville, OH 43950 | 2009-09-28 |
| 1437291911 | David F. Edwards | Dentist | 2301 S Cannon Blvd, Kannapolis, NC 28083-6907 | 2007-02-13 |
| 1083750400 | David Christopher Edwards | Chiropractor | 4033 Veterans Memorial Blvd, Suite D, Metairie, LA 70002-5525 | 2007-01-30 |
| 1720152341 | David Kenneth Edwards | Chiropractor | 201 Central Ave N, Suite I, Tifton, GA 31794-4374 | 2006-11-17 |
| 1730253220 | David L Edwards | Specialist | 1000 Hawthorne Ave Ste O, Athens, GA 30606-2168 | 2006-11-17 |
| 1942396080 | David Joseph Edwards | Counselor | 917 Broadway, Hannibal, MO 63401-4200 | 2006-10-05 |
| Street Address |
3601 4TH ST MS 8143 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516993 | Viviane Mamlok | Pathology | 3601 4th St, 1a115, Lubbock, TX 79430-0002 | 2005-05-24 |
| 1104436252 | Kanak N/a Parmar | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-08-04 |
| 1407465115 | Donald Wayne King Jr. | Nurse Anesthetist, Certified Registered | 3601 4th St, Lubbock, TX 79430-0002 | 2020-07-28 |
| 1588288674 | Hillary Powers | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-03 |
| 1215551692 | Amanda R Edinger | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-02 |
| 1487278966 | Daniel Elling Brown | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-6211 | 2020-06-01 |
| 1588288013 | Fabiana Monte Alegre Olmos Fernandez | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1154945574 | Alex Wilkins | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1720602253 | Amanda Lee Huggett | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1609490192 | Zeyad Saeed Amr Elharabi | Student in an Organized Health Care Education/Training Program | 3601 4th St, Department of Internal Medicine, Lubbock, TX 79430-0002 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922755 | David Conrad Ortmeier | Family Medicine | 4900 Wichita Trl, Flower Mound, TX 75022-5628 | 2020-11-02 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1760027643 | Mark Garza, M.d., Pllc | Family Medicine | 131 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-11-14 |
| 1528603495 | Mark Garza, M.d., Pllc | Family Medicine | 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 | 2019-11-14 |
| 1265092043 | Texas Federal Wellness Center of Mcallen Pllc | Family Medicine | 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 | 2019-06-14 |
| 1235792524 | Celina Family Practice Pllc | Family Medicine | 701 N Preston Rd Ste 200, Celina, TX 75009-3777 | 2019-04-22 |
| 1164902409 | Dna Medical | Family Medicine | 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 | 2018-08-16 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| 1063910842 | Running Wild Sea, LLC | Family Medicine | 8557 Research Blvd Ste 128, Austin, TX 78758-7855 | 2018-01-26 |
| 1134633050 | The University of Texas Rio Grande Valley | Family Medicine | 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 | 2017-11-30 |
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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.