Active NPI
Scott Andrew Edwards, M.D.
- Radiation Oncology Physician
- Jupiter, FL
National Provider Identifier
1124000641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME103809
- Practice address
- 5529 Pennock Point Rd
Jupiter, FL 33458-3449 - Phone
- (561) 398-7048
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME103809 | FL | Primary |
Addresses
Primary practice location
5529 Pennock Point Rd
Jupiter, FL 33458-3449
Mailing address
5529 Pennock Point Rd
Jupiter, FL 33458-3449
Phone (561) 398-7048
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3603538 | Other | MD | AMERICHOICE- BERLIN |
| 533151-04 | Other | MD | CARE FIRST BCBS-SALISBURY |
| 160541100 | Medicaid | MD | |
| 533151-03 | Other | MD | CARE FIRST BCBS - BERLIN |
| P00638352 | Other | MD | RAIL ROAD MEDICARE |
| 0336219000 | Other | MD | AMERIHEALTH- BERLIN |
| 233018 | Other | MD | UNISON HEALTH |
| 3603537 | Other | MD | AMERICHOICE - SALISBURY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103809 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott a. Edwards, MD & Assoc. P.a. | Radiation Oncology | Past | Accepting new patients |
| Berlin Radiation Threapy Treatment Center, LLC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Berlin, MD
- NPI 1558341974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1124000641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5529 PENNOCK POINT RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583449",
"telephone_number": "561-398-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5529 PENNOCK POINT RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583449",
"telephone_number": "561-398-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SCOTT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME103809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE- BERLIN",
"identifier": "3603538",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BCBS-SALISBURY",
"identifier": "533151-04",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160541100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BCBS - BERLIN",
"identifier": "533151-03",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00638352",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH- BERLIN",
"identifier": "0336219000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH",
"identifier": "233018",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE - SALISBURY",
"identifier": "3603537",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.