Organization Active NPI

Gerald G. Edds PSC

  • Plastic Surgery Physician
  • Owensboro, KY
National Provider Identifier
1508192162
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
18970 Issued in KY
Legal business name
GERALD G. EDDS PSC
Practice address
2835 Farrell Cres
Owensboro, KY 42303-1393
Phone
(270) 926-9033
Fax
(270) 926-4896
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Gerald Edds, MD
Title
Owner
Phone
(270) 926-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 18970 KY Primary

Addresses

Primary practice location

2835 Farrell Cres
Owensboro, KY 42303-1393

Mailing address

2835 Farrell Cres
Owensboro, KY 42303-1393

National Provider Directory

National Provider Directory

Locations

2818 Farrell Cres
Owensboro, KY 42303
Phone (270) 926-9033

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1508192162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FARRELL CRES",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FARRELL CRES",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031393",
            "telephone_number": "270-926-9033",
            "fax_number": "270-926-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD G. EDDS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "EDDS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-9033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "18970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.