David Franklin Edwards, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64847-20 Issued in WI

Practice address

3263 Eaton Rd
Green Bay, WI 54311-6830

Phone

(920) 433-6000

Fax

(920) 433-6009

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL, TN, VA, WI4 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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.edwards.1@27404.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.

• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• Emergency Physician Associates of Wisconsin SC

  • Emergency Medicine Physician
  • Marinette, WI
  • NPI 1396119426
  Medicare reassignment NPD
• Mile Bluff Medical Center Inc

  • Emergency Medicine Physician
  • Mauston, WI
  • NPI 1609912005
  Medicare reassignment NPD
• Watertown Physician Practices LLC

  • Family Medicine Physician
  • Watertown, WI
  • NPI 1770964363
  Medicare reassignment NPD
• CMH Physician Services, LLC

  • Internal Medicine Physician
  • South Hill, VA
  • NPI 1194760645

  Emergency Medicine

  Medicare reassignment NPD
• Southland EMS at Weems PL

  • Emergency Medicine Physician
  • Apalachicola, FL
  • NPI 1124302443
  Medicare reassignment NPD
• Southland Hospitalist at Weems PL

  • Emergency Medicine Physician
  • Apalachicola, FL
  • NPI 1801170113
  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  VA

  Medicare reassignment NPD
• Western Virginia Regional Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Norton, VA
  • NPI 1386183028
  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Merrill, WI
  • NPI 1407096266
  NPD
• Mile Bluff Medical Center Inc

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683
  NPD
• Mile Bluff Medical Center Inc

  • Rural Health Clinic/Center
  • Mauston, WI
  • NPI 1881930527
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1053404871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 EATON RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116830",
            "telephone_number": "920-433-6000",
            "fax_number": "920-433-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Slate Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "246146974",
            "country_code": "US",
            "telephone_number": "276-935-1000",
            "fax_number": "276-935-4959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "fax_number": "276-378-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Commanche Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543135753",
            "country_code": "US",
            "telephone_number": "920-433-6000",
            "fax_number": "920-430-4719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Center Ave",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544523404",
            "country_code": "US",
            "telephone_number": "715-536-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 84855",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.31095",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "38726",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "38726",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101057916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38726",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64847-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00364636",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64088636",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010256623",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3897971",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000361786",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4089353",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ecumenical Health Center
• Michelle R Eddy, M.S.W., L.C.S.W.
• Terence Shaun Edgar, MD
• Cerena Edict
• Bruce Marshall Edwards, CRNA APNP
• Patricia Edwards
• Kelly R Eells, NP
• Brian Joseph Eggener, RTR
• Heidi Eggers-Ulve, D.D.S., M.S.
• Eggert & Eggert LLC

• Family Medicine Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.