Edwards and Sisam LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

216110 Issued in NY

Legal business name

EDWARDS AND SISAM LLC

Practice address

215 Summit St
Batavia, NY 14020-1649

Phone

(585) 344-4700

Fax

(585) 345-4191

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Albert Edwards, MDNPI 1336203967

Title

Owner

Phone

(585) 344-4700

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Women's Care Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Albert Edwards Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Batavia, NY
  • NPI 1336203967
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124149711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUMMIT ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201649",
            "telephone_number": "585-344-4700",
            "fax_number": "585-345-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUMMIT ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201649",
            "telephone_number": "585-344-4700",
            "fax_number": "585-345-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS AND SISAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-344-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "216110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02147804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDCARE",
            "identifier": "105570CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0298063",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "10600580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025117002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWNY",
            "identifier": "000526067002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Easterbrook, LMT
• Timothy Wayne Eck, NP
• J. Bradley Ecker, D.D.S.
• Eckerd Corporation
• Eckerd Corporation
• Olga Griselle Edwards
• Richard Albert Edwards Jr., M.D.
• Valerie Jean Edwards, M.A., CCC/SLP
• Rachel Josephine Egan, PA
• Mohammad Elbahnasawy, MD

• Obstetrics & Gynecology Physician in Batavia, NY
• Providers in Batavia, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.