Active NPI
Simon Louis Edwards, PA-C
- Medical Physician Assistant
- Wheat Ridge, CO
National Provider Identifier
1013966092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 914
- Practice address
- 8300 W 38TH Ave
Wheat Ridge, CO 80033-6005 - Phone
- (303) 425-2525
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 914 | CO | Primary |
Addresses
Primary practice location
8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Mailing address
126 N Greeley Ave
Johnstown, CO 80534-8516
Phone (970) 587-8794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 914 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Service Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Platte Valley Medical Group, LLC | Current | Accepting new patients | |
| Emergency Service Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Platte Valley Medical Group, LLC | Current | Accepting new patients | |
| Pridemark Paramedic Services, LLC | Past | Accepting new patients |
Locations
4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885
1450 Dexter St
Ste 102
Fort Lupton, CO 80621
Phone (303) 857-7873
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brighton, CO
- NPI 1922812593
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1639454242
-
- Emergency Medicine Physician
- Wheat Ridge, CO
- NPI 1326097668
-
- Emergency Medicine Physician
- Trinidad, CO
- NPI 1295178978
-
- Emergency Medicine Physician
- Aurora, CO
- NPI 1548895048
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1659906154
-
- Orthopaedic Surgery Physician
- Brighton, CO
- NPI 1245854470
-
- Land Ambulance
- Arvada, CO
- NPI 1295761757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1013966092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 N GREELEY AVE",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805348516",
"telephone_number": "970-587-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336005",
"telephone_number": "303-425-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SIMON",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.