Craig James Edwards, PA-C
Individual provider Active NPI Surgical Physician Assistant · Cody, WY
NPI 1477859015 · NPPES record last updated Dec 14, 2021
Key facts
- NPI
- 1477859015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA589 (MT)
- Practice address
- 3030 Big Horn Ave Ste C
Cody, WY 82414-9208 - Phone
- (307) 578-1955
- Fax
- (307) 578-1996
- NPI assigned
- Jan 30, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- William H and Carrie Gottsche Foundation
Billings Clinic
Practice addresses (Care Compare)
148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146
3030 Big Horn Ave
Cody, WY 82414-9208
Phone (307) 527-7561
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7561
777 Ave H
Powell, WY 82435-2260
Phone (307) 527-7561
Hospital & facility affiliations
- Powell Valley Hospital
- Cody Regional Health
- North Big Horn Hospital District
- South Big Horn County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718001964 | WY | Practitioner - Physician Assistant | 7719103266 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA589 | MT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cody Regional Health EMS | Current |
Accepting new patients | |
| Billings Clinic | Physician Assistant | Current |
Accepting new patients |
| West Park Hospital District | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Powell Valley Health Care Inc | Current |
Accepting new patients | |
| Powell Valley Healthcare Inc | Current |
Accepting new patients | |
| West Park Hospital District | Current |
Accepting new patients | |
| Hot Springs County Hospital District | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
720 Lindsay Ln
Ste C
Cody, WY 82414
Phone (307) 578-1955
3030 Big Horn Ave
Ste C
Cody, WY 82414
Phone (307) 578-1955
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561
3030 Big Horn Ave
Cody, WY 82414
Phone (307) 578-1955
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267
777 Avenue H
Powell, WY 82435
Phone (307) 754-1175
Interoperability endpoints
- cedwards@hscmh.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | PA589 | MT | Yes |
Addresses
Primary practice location
3030 Big Horn Ave Ste C
Cody, WY 82414-9208
Mailing address
3030 Big Horn Ave Ste C
Cody, WY 82414-9208
Phone (307) 578-1955
Other providers in Cody, WY
- Ethan Ducharme
- Tracy D Dunn
- Eaglemed LLC
- Chad Eagleton
- Jodi Lynne Eatherly
- Thomas S Edwards
- Melanie A Ellis
- Emeritus Corporation
- Stephen F Emery
- Encompass Counseling LLC
All providers in Cody, WY · Surgical Physician Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.