Edelson Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7207 Issued in FL

Legal business name

EDELSON WELLNESS CENTER, LLC

Practice address

4250 W Bay to Bay Blvd
Tampa, FL 33629-6608

Phone

(813) 831-8321

Fax

(813) 831-5143

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Steven Gregg Edelson, DCNPI 1578622262

Title

Ceu

Phone

(813) 831-8321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Gregg Edelson, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1578622262
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1295922326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296608",
            "telephone_number": "813-831-8321",
            "fax_number": "813-831-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296608",
            "telephone_number": "813-831-8321",
            "fax_number": "813-831-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELSON WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "CEU",
        "authorized_official_telephone_number": "813-831-8321",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddy E. Berges, M.D.
• Alicia Eddy, LMHC
• Grace Clare Eddy, MD
• Mary Katherine Eddy, CRNA
• Jenalyse Edejer
• Steven Gregg Edelson, DC
• Eden Home Health
• Eden Home Health Martin LLC
• Atom Jacob Edenson, D.M.D.
• Aurora Edgar

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.