Steven R. Edmondson MD, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G8830 Issued in TX

Legal business name

STEVEN R. EDMONDSON MD, PA

Practice address

3025 N Tarrant Pkwy Ste 240
Fort Worth, TX 76177-8620

Phone

(817) 431-1500

Fax

(817) 431-8193

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Steven Ray Edmondson, MD

Title

Owner/President

Phone

(817) 431-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1164895355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778620",
            "telephone_number": "817-431-1500",
            "fax_number": "817-431-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778620",
            "telephone_number": "817-431-1500",
            "fax_number": "817-431-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. EDMONDSON MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-431-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G8830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.