Edward Health Ventures

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDWARD HEALTH VENTURES

Practice address

6701 US Highway 34
Oswego, IL 60543-9129

Phone

(630) 646-4255

Fax

(630) 646-4256

NPI assigned

Mar 7, 2008

Last updated

Mar 27, 2009By 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

Mr. William G. Kottman

Title

President

Phone

(630) 646-3950

Specialties & licenses 1

Addresses

Other names 1

• Edward Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiana Carrillo Calderon, M.D.

  • Family Medicine Physician
  • Elmhurst, IL
  • NPI 1619388923
  NPD
• Melissa R Edwards, PA-C

  • Physician Assistant
  • Addison, IL
  • NPI 1821587171
  NPD
• Teresa E Grant, MD

  • Internal Medicine Physician
  • Sandwich, IL
  • NPI 1922091412
  NPD
• Kelly Harpole, APN-CNP

  • Nurse Practitioner
  • Aurora, IL
  • NPI 1083299390
  NPD
• Tiffany Kendrigan, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1669854576
  NPD
• Charles Lawler, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1356324867
  NPD
• Kelly Lydon, APN-CNP

  • Nurse Practitioner
  • Elk Grove Village, IL
  • NPI 1891308060
  NPD
• Bonnie L McManus, MD

  • Emergency Medicine Physician
  • South Elgin, IL
  • NPI 1336277029
  NPD
• Michelle Meziere, MD

  • Emergency Medicine Physician
  • Elmhurst, IL
  • NPI 1245266675
  NPD
• Tara Cole Nikodem, PA-C

  • Surgical Physician Assistant
  • Naperville, IL
  • NPI 1720322654
  NPD
• Rachel Ramirez, PA-C

  • Physician Assistant
  • Addison, IL
  • NPI 1083366710
  NPD
• Steven R Stakenas, APRN, CNP

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1558459099
  NPD

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1255501029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439129",
            "telephone_number": "630-646-4255",
            "fax_number": "630-646-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439129",
            "telephone_number": "630-646-4255",
            "fax_number": "630-646-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "KOTTMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-646-3950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dupage Health and Wellness Centers, LTD
• Michelle Earley
• Nicole Eberle-Smith
• Ecs Health Care Agency and Home Health Services P.C.
• Edward Health Ventures
• Edward Hospital Imaging Center Oswego
• Olanrewaju Efuntade, DNP
• Brittany Nicole Egan, LCSW
• Rachael Anne Egge, LCPC
• Taylor Eggenberger

• Family Medicine Physician in Oswego, IL
• Providers in Oswego, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.