James Lowell Edwards (NPI# 1508885005, PAC ID# 4981601713) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1508885005 |
PAC ID by PECOS | 4981601713 |
Professional Enrollment ID | I20061108000474 |
Full Name | James Lowell Edwards |
Address |
3725 Lone Tree Way C Antioch CA 94509-6064 |
Gender | M |
Credential | MD |
Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050523 | SUTTER DELTA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3725 Lone Tree Way, C, Antioch, CA 94509-6064 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
Street Address |
3725 LONE TREE WAY C |
City | ANTIOCH |
State | CA |
Zip | 94509-6064 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maria Barnhart | Psychologist, Clinical | 3725 Lone Tree Way, Suite A1, Antioch, CA 94509-6000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Todd M Frigard | Chiropractic | 501 W 3rd St, Antioch, CA 94509-1275 | |
Queen Lynn Marie Adu-poku | Clinical Social Worker | 101 Waldie Plz, Suite 10, Antioch, CA 94509-1279 | |
Sanjay Ray | Cardiovascular Disease (cardiology) | 1130 A St, Antioch, CA 94509-2356 | |
Stacey A Duckett | Chiropractic | 1407 A St, Suite D, Antioch, CA 94509-2357 | |
Sylvia L Chi | Nephrology | Permanente Medical Group Inc | 3100 Delta Fair Blvd, Antioch, CA 94509-4001 |
Steven Lin | Dermatology | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
Seema C Cameron | Family Medicine | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
Barbara D Garcia | Dermatology | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
Vickrum Chodri | Internal Medicine | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
Mark C Vanriper | Physical Therapy | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
Find all physicians in zip 94509 |
City | ANTIOCH |
Zip Code | 94509 |
Specialty | FAMILY MEDICINE |
City + Specialty | ANTIOCH + FAMILY MEDICINE |
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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.