Edward P Aguilar, P.A.

Individual provider Active NPI Physician Assistant · Danville, IN

NPI 1124064530 · NPPES record last updated Dec 2, 2010

Key facts

NPI
1124064530
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
10000357A (IN)
Practice address
1000 E.Main St
Danville, IN 46122
Phone
(317) 745-3450
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Anderson Regional Hospital, Inc. Past Accepting new patients
Emergency Medicine Specialists, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000357A IN Yes

Addresses

Primary practice location

1000 E.Main St
Danville, IN 46122

Mailing address

PO Box 485
Danville, IN 46122-0485
Phone (317) 745-6139

Other identifiers

IdentifierTypeStateIssuer
970016923OtherRAILROAD RETIREE MEDICARE

Other providers in Danville, IN

All providers in Danville, IN · Physician Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.