Individual provider Active NPI

Michael C Edmunds

  • Orthotist
  • Sewickley, PA
National Provider Identifier
1285037853
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
OH000112 Issued in PA
Practice address
2593 Wexford Bayne Rd
Sewickley, PA 15143-8608
Phone
(412) 292-1219
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X OH000112 PA Primary

Addresses

Primary practice location

2593 Wexford Bayne Rd
Sewickley, PA 15143-8608

Mailing address

2593 Wexford Bayne Rd
Sewickley, PA 15143-8608
Phone (412) 292-1219

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OH000112PAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Medical LLC Orthotist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1285037853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 WEXFORD BAYNE RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438608",
            "telephone_number": "412-292-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 WEXFORD BAYNE RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438608",
            "telephone_number": "412-292-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "PA",
            "license": "OH000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.