Edward A. Dodge, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

T-02280 Issued in KS

Practice address

5325 Faraon St
Saint Joseph, MO 64506-3488

Phone

(816) 271-6122

Fax

(816) 271-6019

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

No

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 KS, NE2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.dodge.1@11418.direct.athenahealth.com

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.

• Rooks County Health Center

  • Family Medicine Physician
  • Plainville, KS
  • NPI 1841570298
  Medicare reassignment NPD
• Sumner County Hospital District No 1

  • Critical Access Hospital
  • Caldwell, KS
  • NPI 1215094438
  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment
• Select Specialty Hospital Omaha Inc

  • Long Term Care Hospital
  • Omaha, NE
  • NPI 1518967124
  Medicare reassignment
• Sound Physicians Emergency Medicine of Kansas, LLC

  • Emergency Medicine Physician
  • Manhattan, KS
  • NPI 1831689934
  Medicare reassignment
• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD
• Sumner County Hospital District No 1

  • Rural Health Clinic/Center
  • Caldwell, KS
  • NPI 1881327153
  NPD
• Ukhs Great Bend, LLC

  • Multi-Specialty Clinic/Center
  • Great Bend, KS
  • NPI 1962997197

  Physician Assistant

  NPD
• Grisell Memorial Hospital District 1

  • General Practice Physician
  • Ransom, KS
  • NPI 1588601587
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043468093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Highland Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "KS",
            "postal_code": "669013923",
            "country_code": "US",
            "telephone_number": "785-243-4272",
            "fax_number": "785-243-4275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highland Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "KS",
            "postal_code": "669013923",
            "country_code": "US",
            "telephone_number": "785-243-4272",
            "fax_number": "785-243-4275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODGE",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T-02280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200577260A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diversicare of St. Joseph, LLC
• Alexa Dixon
• Charles W Dobbs, MD
• Dennis Charles Dobyan, MD
• Caleb Paul Dodd
• William A. Dodson, M.D.
• Debra Dolman
• Camila Dominguez, STUDENT
• Juan C Dominguez, MD
• Andrew Donaldson, MD

• Physician Assistant in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.