Edna Marie Jean

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-00-2601-J Issued in OH

Practice address

1857 N Reynolds Rd
Toledo, OH 43615-3537

Phone

(419) 537-9877

Fax

(419) 537-9878

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Edna Marie Jean

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1922244953

  O20100930042911

  Same enrollment

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ejean79377@direct.bsmhealth.org

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1043208788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2969",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436060969",
            "telephone_number": "419-537-9877",
            "fax_number": "419-537-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153537",
            "telephone_number": "419-537-9877",
            "fax_number": "419-537-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "EDNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-2601-J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryanna Jay, MD
• Denise Ann Jay, LPC
• Erika Jay
• Joshua Lynn Jay, CAA
• Victoria Jaye
• Robert D Jefferds III
• Sueann Jefferds
• Nicole Renee Jeffers
• Taishia Jonel Jeffers
• Robyn Marelle Jefferson-Colbert, S.T.N.A

• Podiatrist in Toledo, OH
• Providers in Toledo, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.