Debra Gale Edwards, MD
Individual provider Active NPI Emergency Medicine Physician · Kettering, OH
NPI 1376757690 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1376757690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35.090726 (OH)
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 395-8166
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Specialists Inc
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 702-4024
Hospital & facility affiliations
- Soin Medical Center
- Kettering Health Troy
- Kettering Health Greene Memorial
- Kettering Health Main Campus
- Kettering Health Dayton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080213000012 | OH | Practitioner - Emergency Medicine | 1850474925 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.090726 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Specialists Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists, Inc | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Specialists, Inc | Emergency Medicine | Current |
Accepting new patients |
| Greene Emergency Medical Services | Past | Accepting new patients | |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
450 Washington Jackson Rd
#F
Eaton, OH 45320
Phone (937) 456-8376
450 Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8376
100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700
8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
3131 Newmark Dr
Ste 220
Miamisburg, OH 45342
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
6147 State Route 122
Middletown, OH 45005
Phone (513) 261-3410
2300 N Limestone St
Springfield, OH 45503
Phone (937) 328-7050
600 W Main St
Troy, OH 45373
Phone (937) 395-6665
1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000
1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.090726 | OH | Yes |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 438-8910
Other practice location 1
100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700
Other practice location 2
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338
Other practice location 3
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500
Other practice location 4
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500
Other practice location 5
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791
Other practice location 6
6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3419
Other practice location 7
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228
Other practice location 8
450 Washington Jackson Rd
Eaton, OH 45320-8699
Phone (937) 456-8376
Other practice location 9
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211
Other practice location 10
600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2802122 | Medicaid | OH |
Other providers in Kettering, OH
- Jessica Easterbrook
- Meaghan Frances Ebetino
- Michelle Eby
- Carissa Lynn Eckert
- Julie Ann Edsall
- Mary Edwards
- Lisa Bohman Egbert
- Carol A Eifert
- Dale J Eilerman
- Douglas B Einstein
All providers in Kettering, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.