Robert James Edmonds, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.139599 Issued in OH

Practice address

1 Wyoming St
Dayton, OH 45409-2722

Phone

(937) 208-8000

Fax

(000) 000-0000

NPI assigned

Apr 8, 2013

Sex

Male

Sole proprietor

Yes

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.

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• Miami Valley Emergency Specialists, LLC

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  • Dayton, OH
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• PHS Emergency Billing LLC

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  • Dayton, OH
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  Emergency Medicine, OH

  Medicare reassignment NPD
• Riverside Physician Services Inc

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  • NPI 1194929026

  VA

  Medicare reassignment NPD
• Williamsburg Emergency Physicians

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  • Williamsburg, VA
  • NPI 1225079650

  Emergency Medicine, VA

  Medicare reassignment NPD
• Emergency Medicine Specialists, Inc

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  • Xenia, OH
  • NPI 1083982888

  Emergency Medicine

  NPD
• Emergency Medicine Specialists, Inc

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1104572841

  Emergency Medicine

  NPD
• Riverside Physician Services Inc

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1083867311
  NPD
• Riverside Physician Services Inc

  • Emergency Medicine Physician
  • Williamsburg, VA
  • NPI 1639418429

  Emergency Medicine

  NPD
• Williamsburg Emergency Physicians

  • Emergency Care Clinic/Center
  • Williamsburg, VA
  • NPI 1942585310

  Emergency Medicine

  NPD
• Emergency Medicine Specialists Inc

  • Emergency Medicine Physician
  • Miamisburg, OH
  • NPI 1366428575

  Emergency Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in VA, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2020.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1386087435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-4175",
            "fax_number": "816-404-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-8000",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-702-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.139599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Edmisten
• Joy Edmond Jackson
• Amber Marie Edmond, KT, RYT
• Tila Edmond, RBT
• Darona N Edmonds, INDEPENDENT PROVIDER
• Branden Edmondson
• Sharon Edmondson
• Susan E Edmondson, P.T.
• Wayne Edmondson Jr., MS
• Jeremy Bruce Edmonson, CDCA

• All providers in Dayton, OH
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.