Individual provider Active NPI

David E Kohler-Edwards, IDMT

  • Independent Duty Medical Technicians
  • Tucson, AZ
National Provider Identifier
1124262365
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
1670 E. Perimeter Way
162ND Medical Group/Arizona Air National Guard
Tucson, AZ 85706
Phone
(520) 295-6172
Fax
(520) 295-6658
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

1670 E. Perimeter Way
162ND Medical Group/Arizona Air National Guard
Tucson, AZ 85706

Mailing address

1670 E. Perimeter Way
162ND Medical Group/Arizona Air National Guard
Tucson, AZ 85706
Phone (520) 295-6172

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1124262365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E. PERIMETER WAY",
            "address_2": "162ND MEDICAL GROUP/ARIZONA AIR NATIONAL GUARD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-295-6172",
            "fax_number": "520-295-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E. PERIMETER WAY",
            "address_2": "162ND MEDICAL GROUP/ARIZONA AIR NATIONAL GUARD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-295-6172",
            "fax_number": "520-295-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER-EDWARDS",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.