NPIMap

Organization Active NPI

Edmonds Medical, LLC

  • Surgical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1477792844
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
A10599 Issued in LA
Legal business name
EDMONDS MEDICAL, LLC
Practice address
3111 Longleaf CT
Baton Rouge, LA 70810-0308
Phone
(225) 810-3430
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Holly L Edmonds, PA-C
Title
President
Phone
(225) 810-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X A10599 LA Primary

Addresses

Primary practice location

3111 Longleaf CT
Baton Rouge, LA 70810-0308

Mailing address

5445 La Sierra Dr
Suite 410
Dallas, TX 75231-4139
Phone (214) 382-1909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1477792844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 LA SIERRA DR",
            "address_2": "SUITE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314139",
            "telephone_number": "214-382-1909",
            "fax_number": "214-382-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LONGLEAF CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100308",
            "telephone_number": "225-810-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-810-3430",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "A10599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.