Thomas L Edwards DO Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

THOMAS L EDWARDS DO INC

Practice address

12844 Joe Harig Road
San Antonio, FL 33576

Phone

(352) 588-0476

Fax

(888) 523-3008

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Lloyd Edwards, DONPI 1205879459

Title

President

Phone

(352) 588-0476

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Thomas Lloyd Edwards, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, FL
  • NPI 1205879459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1447439229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 JOE HARIG ROAD",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "33576",
            "telephone_number": "352-588-0476",
            "fax_number": "888-523-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 JOE HARIG ROAD",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "33576",
            "telephone_number": "352-588-0476",
            "fax_number": "888-523-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L EDWARDS DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-588-0476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370860800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Vincent Schambeau, D.C.
• Chelsea Sheehan, PSYD
• Monica Sherman
• Somaloom, LLC
• Robin Wood Stuckey, MSN, APRN, FNP-C
• Vital Route, LLC
• Erica Williams

• Geriatric Medicine (Family Medicine) Physician in San Antonio, FL
• Providers in San Antonio, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.