Allison Regina Edwards

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0032051 Issued in MD

Practice address

6409 Crain Hwy
Upper Marlboro, MD 20772-4139

Phone

(301) 952-8614

NPI assigned

Sep 15, 2006

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allison R. Edwards, MD PA

  • Cardiovascular Disease Physician
  • Bowie, MD
  • NPI 1720228364
  Authorized official Same address or phone
• Medstar Southern Maryland Physicians, LLC

  • General Practice Physician
  • Clinton, MD
  • NPI 1992057483
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1194821470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 226",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153006",
            "telephone_number": "301-262-8900",
            "fax_number": "301-262-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CRAIN HWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724139",
            "telephone_number": "301-952-8614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 Gallant Fox Lane",
            "address_2": "Suite 226",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207153006",
            "country_code": "US",
            "telephone_number": "301-262-8900",
            "fax_number": "301-262-0195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALLISON",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0032051",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0032051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161021000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010078200",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3252AR11",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2183",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzy Echendu
• Kathleen Wyvill Edelen, MD
• Kendra Edozie, M.S.
• Blessing Phil-Slattryl Edube
• Meantoy Edwards-Pinkney
• Natalie Carolanne Edwards, LCPC, LPC, QMHP
• Effective Intervention Services LLC
• Michael Egbe
• Myia C Egleton, LMSW
• Jessica Egred

• Cardiovascular Disease Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Cardiovascular Disease Physician in Maryland

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