Edward G. Lundblad, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25239 Issued in CO

Legal business name

EDWARD G. LUNDBLAD, MD, PC

Practice address

579 S. Laredo Circle
Aurora, CO 80017

Phone

(303) 671-8487

Fax

(303) 671-5160

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward G Lundblad, MD

Title

President

Phone

(303) 671-8487

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1154591477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 S. LAREDO CIRCLE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80017",
            "telephone_number": "303-671-8487",
            "fax_number": "303-671-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 S. LAREDO CIRCLE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80017",
            "telephone_number": "303-671-8487",
            "fax_number": "303-671-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G. LUNDBLAD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "LUNDBLAD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-671-8487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "25239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02152394",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Lenay Edmonds
• Cheyenne Rose Edmonson, EDMOCH
• Edmund Surgical
• Steven A Edmundowicz, MD
• Chad Douglas Edson, MA, LPC, CAC III
• Edward Kirschman MD PC
• Rebecca Giovanna Edwards Mayhew, MD
• Edwards Medical Provider Group
• Ashley Edwards
• Caleb Simpeh Edwards, MD

• Specialist in Aurora, CO
• Providers in Aurora, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.