Edwin Joseph Upton Jr. (NPI# 1932130440, PAC ID# 3375508492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1932130440 |
| PAC ID by PECOS | 3375508492 |
| Professional Enrollment ID | I20041130000735 |
| Full Name | Edwin Joseph Upton Jr. |
| Address |
107 Bryan St Dayton TX 77535-2661 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451375 | LIBERTY DAYTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 Bryan St, Dayton, TX 77535-2661 |
| Street Address |
107 BRYAN ST |
| City | DAYTON |
| State | TX |
| Zip | 77535-2661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica K Loverdi | Nurse Practitioner | Bayou Urgent Care | 1947 Hwy 146, Dayton, TX 77535-2315 |
| Anita Hunter | Nurse Practitioner | Bayou Urgent Care | 1947 Hwy 146, Dayton, TX 77535-2315 |
| Bobbie Jo Bennett | Chiropractic | 113 S Main St, Dayton, TX 77535-2547 | |
| John W Macdonald | General Practice | 202 N Church St, Dayton, TX 77535-2604 | |
| David B Beeler | Optometry | 306 N Main St A, Dayton, TX 77535-2635 | |
| Satiskumar P Patel | Family Medicine | 108 A N Main St, Dayton, TX 77535-2642 | |
| Shemeka J Banger Hill | Internal Medicine | 205 N Main St, Dayton Family Medical Clinic, Dayton, TX 77535-2643 | |
| Betty J Jordan | Nurse Practitioner | 601 S Winfree St, Dayton, TX 77535-2945 |
| City | DAYTON |
| Zip Code | 77535 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DAYTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edwin Joseph Upton Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.