Individual provider Active NPI

Cora Edger, PA-C

  • Physician Assistant
  • Greenville, OH
National Provider Identifier
1255709002
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004428RX Issued in OH
Practice address
828 Central Ave
Greenville, OH 45331-1206
Phone
(937) 569-6996
Fax
(937) 569-6079
NPI assigned
Sep 10, 2015
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002361A IN
Physician Assistant 363A00000X 50.004428RX OH Primary

Addresses

Primary practice location

828 Central Ave
Greenville, OH 45331-1206

Mailing address

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 548-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Physician Assistant PastSince Mar 23, 2020 Accepting new patients
After Hours Family Care Inc PastSince Nov 28, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1255709002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141",
            "fax_number": "937-569-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 CENTRAL AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311206",
            "telephone_number": "937-569-6996",
            "fax_number": "937-569-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGER",
        "first_name": "CORA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002361A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004428RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.