Randy Edwards, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS008785L Issued in PA

Practice address

206 W Plum St
Edinboro, PA 16412-2121

Phone

(814) 734-1952

NPI assigned

Apr 20, 2006

Last updated

Apr 7, 2010By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahn Emergency Group of Erie County LTD.

  • Emergency Medicine Physician
  • Erie, PA
  • NPI 1336564798
  Medicare reassignment NPD
• Millcreek Community Hospital

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1609970284
  Medicare reassignment NPD
• Millcreek Community Hospital

  • Psychologist
  • Erie, PA
  • NPI 1508198748
  NPD
• Millcreek Community Hospital

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1548263973
  NPD
• Medical Associates of Erie

  • Family Medicine Physician
  • Edinboro, PA
  • NPI 1871761155
  NPD (past)
• Northwest Physicians Associates PC

  • Family Medicine Physician
  • Meadville, PA
  • NPI 1144224973
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1457316481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WEST PLUM STREET",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "16412",
            "telephone_number": "814-734-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W PLUM ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122121",
            "telephone_number": "814-734-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RANDY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008785L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016406580007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edinboro Counseling and Psychological Services
• Edinboro Family Chiropractic, Inc.
• Edinboro Health & Wellness Center PC
• Edinboro Volunteer Fire Department
• Marina Edwards, BSN, RN
• Susan M Evans, PH.D.
• Evolve Professional Counseling Services, LLC (GreenZone Professional Counseling)
• Franklin Township Volunteer Fire Dept
• Molly Gavin, ED.S
• General McLane School District

• Family Medicine Physician in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.