Christofer J Edwards, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA055077 Issued in PA

Practice address

34405 W 12 Mile Rd Ste 173
Farmington Hills, MI 48331-5605

Phone

(248) 795-7799

Fax

(248) 957-7997

NPI assigned

Jun 21, 2011

Last updated

Jan 15, 2018By the provider in NPPES

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southgate Urgent Care PCGroup PAC ID 0143237172, 9 clinicians

Warren Urgent Care PCGroup PAC ID 5496799751, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southgate Urgent Care PC

  • Family Medicine Physician
  • Southgate, MI
  • NPI 1902904436
  Medicare reassignment Care Compare group
• Warren Urgent Care PC

  • Family Medicine Physician
  • Warren, MI
  • NPI 1972503902
  Medicare reassignment Care Compare group
• Adrian Urgent Care PLLC

  • Family Medicine Physician
  • Adrian, MI
  • NPI 1003204769
  Medicare reassignment
• Adrian Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1144611633
  NPD (past)
• Hartland Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Hartland, MI
  • NPI 1144460882
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1255627006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD STE 173",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315605",
            "telephone_number": "248-957-7999",
            "fax_number": "248-957-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD STE 173",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315605",
            "telephone_number": "248-795-7799",
            "fax_number": "248-957-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHRISTOFER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelena Edwards
• Arriyanna Edwards
• Brittani Edwards
• Cheyenne Edwards
• China Edwards
• Elois Edwards
• Emily Edwards
• Emily Edwards, RBT
• Erionna Edwards
• Faith Edwards

• Physician Assistant in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.