Active NPI
James R. Edgerton, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Plano, TX
National Provider Identifier
1386632909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- K6572
- Practice address
- 4708 Alliance Blvd
BLDG. 1, Suite 700
Plano, TX 75093-5340 - Phone
- (972) 596-6676
- Fax
- (972) 596-7078
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | K6572 | TX | Primary |
Addresses
Primary practice location
4708 Alliance Blvd
BLDG. 1, Suite 700
Plano, TX 75093-5340
Mailing address
4708 Alliance Blvd
BLDG. 1, Suite 700
Plano, TX 75093-5340
Phone (972) 596-6676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039024704 | Medicaid | TX | |
| 039024705 | Medicaid | TX |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Medical Affiliates, Inc. | Past | Accepting new patients | |
| Cardiovascular Specialty Associates of North Texas, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
dba Csant
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
-
- General Practice Physician
- Milwaukee, WI
- NPI 1588695746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1386632909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD",
"address_2": "BLDG. 1, SUITE 700",
"city": "PLANO",
"state": "TX",
"postal_code": "750935340",
"telephone_number": "972-596-6676",
"fax_number": "972-596-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD",
"address_2": "BLDG. 1, SUITE 700",
"city": "PLANO",
"state": "TX",
"postal_code": "750935340",
"telephone_number": "972-596-6676",
"fax_number": "972-596-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "JAMES",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "K6572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039024704",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039024705",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.