Jeremy Robert Edmiston, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34.008886 Issued in OH

Practice address

4110 Warrensville Center Rd
Beachwood, OH 44122-7024

Phone

(216) 491-6000

NPI assigned

Jun 14, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Lake Hospital System

  • Obstetrics & Gynecology Physician
  • Willoughby, OH
  • NPI 1346202512
  NPD (past)
• Lake Hospital System Inc

  • Physician Assistant
  • Concord TWP, OH
  • NPI 1851698435
  NPD (past)
• Lake Hospital System Inc.

  • Adult Health Nurse Practitioner
  • Concord TWP, OH
  • NPI 1043275837
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1215131842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 LOCKWOOD OVAL",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872508",
            "telephone_number": "216-410-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WARRENSVILLE CENTER RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-491-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.008886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Eberhardt, APRN-CNP
• Matthew A. Eccher, MD
• Maria Echeverria
• Michael Eckstein, MD
• Barbara L Eden, LISW-S
• Edward Kocharian,MD.LLC
• Leanna Effron
• Nicole Erin Egle
• Lauren Michelle Ehrenreich, MSSA
• Morgan Eicher

• Emergency Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.