David a. Edmonson, M.D., PC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

236674-1 Issued in NY

Legal business name

DAVID A. EDMONSON, M.D., PC

Practice address

319 S Manning Blvd
Suite 210
Albany, NY 12208-1742

Phone

(518) 641-6936

Fax

(518) 641-6939

NPI assigned

Nov 1, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David A Edmonson, MD

Title

MD/Owner

Phone

(518) 641-6936

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1225217763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122010194",
            "telephone_number": "518-641-6936",
            "fax_number": "518-641-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081742",
            "telephone_number": "518-641-6936",
            "fax_number": "518-641-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. EDMONSON, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "EDMONSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "518-641-6936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "236674-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02733833",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1750440699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noureldien Darwish
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• Divya Dasani, MD
• Daughters of Sarah Nursing Center, Inc.
• Alisun Jean Daus, RD
• David Levine
• David Perlmutter Physician PC
• Jose M. David Jr., M.D.
• Krista David, LMHC
• Lauren Davidson, M.S., CCC-SLP

• Surgical Oncology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.