Dearborn Edwards, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

23381 Issued in OK

Practice address

921 NE 13TH St
Donald W Reynolds Dept. Geriatric Medicine (Vamc 11G)
Oklahoma City, OK 73104

Phone

(405) 271-8558

Fax

(405) 271-3887

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083766703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748181306",
            "telephone_number": "405-303-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NE 13TH ST",
            "address_2": "DONALD W REYNOLDS DEPT. GERIATRIC MEDICINE (VAMC 11G)",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-8558",
            "fax_number": "405-271-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DEARBORN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "23381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Scot Edwards
• Colby Lee Edwards, D.O.
• Dale Edwards, BHCMII, BHRS
• Davicia Edwards, LMSW, MSW U-S
• Dawn Edwards
• Dekoven M Edwards Jr.
• Desti Shepard Edwards, PHD
• Diettra Yvonne Edwards, CBHCM
• Eric Bernard Edwards, MSW
• Heather Danielle Edwards, PHARMD

• Geriatric Medicine (Internal Medicine) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Geriatric Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.