Roger Edwards, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

993 Issued in WV

Practice address

956 N Eisenhower Dr
Beckley, WV 25801-3114

Phone

(681) 238-5258

Fax

(681) 238-5700

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Ge Bariatric & Anti-Aging Solutions, LLC

  • Clinic/Center
  • Beckley, WV
  • NPI 1679917553
  NPD (past)
• West Virginia Em-I Medical Services

  • Emergency Medicine Physician
  • Summersville, WV
  • NPI 1598148553
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1447237458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013114",
            "telephone_number": "681-238-5258",
            "fax_number": "681-238-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013114",
            "telephone_number": "681-238-5258",
            "fax_number": "681-238-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041038000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BCBS",
            "identifier": "001718049",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DWC",
            "identifier": "1053516",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Eckley, D.D.S.,M.S.
• L. Edward Eckley, D.D.S.,M.S.
• Kimberly Renee Edens, PA-C, MS
• Christopher Gordon Edwards, D.O.
• Melissa Edwards, LPC
• Lakiah Edwin-Bankston, LPC
• Mayez A El-Harake, MD
• Ashley Elam
• William Elam
• Vanessa Kaye Elder, RN

• Emergency Medicine Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.