Allan Curtis Edson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

349532-1204 Issued in UT

Practice address

425 Medical Dr
Suite 207
Bountiful, UT 84010-4945

Phone

(801) 294-5224

Fax

(801) 294-5269

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Allan Curtis Edson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• West Jordan Family Medicine, LLC

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1528203817
  NPD (past)
• Edson Medical Clinic, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Haven, MI
  • NPI 1518242734
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1508811092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "SUITE 207",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-294-5224",
            "fax_number": "801-294-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "SUITE 207",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-294-5224",
            "fax_number": "801-294-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDSON",
        "first_name": "ALLAN",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "349532-1204",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "UT",
            "license": "3495321204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLAN",
            "last_name": "EDSON",
            "middle_name": "CURTIS",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Molly Murphy Dwyer
• Brett Earl, MD
• Ebrainmd, LLC
• Edge Medical Services
• Tristan Edler
• John C Edwards, M.D.
• Kyler Eggerman, RBT
• Brian Arthur Ekberg, PA-C
• Elevate Dental Partners
• Kierra Leigh Elliott

• Family Medicine Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.