Dr. Mark J. Edmunds, DPM, P.L.L.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00294 Issued in KY

Legal business name

DR. MARK J. EDMUNDS, DPM, P.L.L.C.

Practice address

1610 S Main St
Suite 9
Hopkinsville, KY 42240-1974

Phone

(270) 885-1203

Fax

(270) 885-1561

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mark J. Edmunds, DPMNPI 1679540702

Title

Director Owner

Phone

(270) 885-1203

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Dr Mark J Edmunds DPM PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Mark J. Edmunds, DPM, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Hopkinsville, KY
  • NPI 1760571707
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Joseph Edmunds, D.P.M.

  • Podiatrist
  • Hopkinsville, KY
  • NPI 1679540702
  NPD (past) Authorized official

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1225009459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401974",
            "telephone_number": "270-885-1203",
            "fax_number": "270-885-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401974",
            "telephone_number": "270-885-1203",
            "fax_number": "270-885-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK J. EDMUNDS, DPM, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "270-885-1203",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000049000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Dougherty
• Hugh K Dougherty, MD
• Tishauna Douglas
• Wayne Doutt
• Dr Rao Velaga PSC
• Dr. Mark J. Edmunds, DPM, PLLC
• Margaret Nell Reynolds Driver, LCSW
• Amy Duke
• Jennifer Duke
• Jessee Glover Dunbar

• Podiatrist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.