Micah Boaz Obadiah Edwin, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME143503 Issued in FL

Practice address

4850 W Oakland Park Blvd Ste 224
Lauderdale Lakes, FL 33313-7261

Phone

(786) 214-2001

NPI assigned

Jun 21, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medwin PA

  • Primary Care Clinic/Center
  • Lauderdale Lakes, FL
  • NPI 1275168650
  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1033430327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 224",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137261",
            "telephone_number": "954-835-5863",
            "fax_number": "954-800-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 224",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137261",
            "telephone_number": "786-214-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWIN",
        "first_name": "MICAH",
        "middle_name": "BOAZ OBADIAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "261987",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME143503",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2010-01073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy Care Home Agency LLC
• Eb Land Investment LLC
• Sofia Echevarria Vorobiova
• Diego Echeverri, M.D.
• Baldwin Edwards, CNA
• Eferz LLC
• El Vignoble,LLC
• Carol J Elder, LMFT
• Junie Fleurinord Elisme, MD
• Elite Phlebdna Mobile Services, LLC.

• General Practice Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.