Individual provider Active NPI

Patrick Edwards, MD

  • Student in an Organized Health Care Education/Training Program
  • Wright Patterson Afb, OH
National Provider Identifier
1033991872
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
711 HPW/Usafsam/Feeg School of Aerospace Medicine
2510 5TH Street BLDG 20-840
Wright Patterson Afb, OH 45433-7913
Phone
(937) 938-2744
NPI assigned
Oct 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

711 HPW/Usafsam/Feeg School of Aerospace Medicine
2510 5TH Street BLDG 20-840
Wright Patterson Afb, OH 45433-7913

Mailing address

711 HPW/Usafsam/Feeg School of Aerospace Medicine
2510 5TH Street BLDG 20-840
Wright Patterson Afb, OH 45433-7913
Phone (937) 938-2744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1033991872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HPW/USAFSAM/FEEG SCHOOL OF AEROSPACE MEDICINE",
            "address_2": "2510 5TH STREET BLDG 20-840",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337913",
            "telephone_number": "937-938-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HPW/USAFSAM/FEEG SCHOOL OF AEROSPACE MEDICINE",
            "address_2": "2510 5TH STREET BLDG 20-840",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337913",
            "telephone_number": "937-938-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Patterson Afb, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.