Thomas Edwards, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C50000228 Issued in DE

Practice address

1096 Old Churchmans Rd
Newark, DE 19713-2102

Phone

(302) 655-9494

Fax

(302) 623-4147

NPI assigned

Jun 20, 2005

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tedwards2020423@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Francis Hospital Inc.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1275697088
  Medicare reassignment Care Compare group
• St Francis Hospital Inc

  • Obstetrics & Gynecology Physician
  • Wilmington, DE
  • NPI 1407981160
  NPD
• Christiana Spine, PA

  • Orthopaedic Surgery of the Spine Physician
  • Newark, DE
  • NPI 1851307342
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1194720672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 OLD CHURCHMANS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132102",
            "telephone_number": "302-655-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 OLD CHURCHMANS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132102",
            "telephone_number": "302-655-9494",
            "fax_number": "302-623-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Clayton St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053155",
            "country_code": "US",
            "telephone_number": "302-354-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00110729",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID-ATLANTIC",
            "identifier": "16225",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "P02567",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P02567",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.edwards@direct.4.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 N Clayton St",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eds Transportation
• Eds Transportation Systems, Inc
• Denise Edwards
• Kimberly S Edwards, MSW
• Latrelle Edwards
• Efc Loving Family Care LLC
• William Christopher Egan, M.D.
• Heather Ruth Egnor, MS/CCC-SLP
• Steve Kenneth Dubrow Eichel, PH.D.
• Jessica Eichholz, LPCMH

• Physician Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.