Active NPI
Edison Paxton McDaniels II, MD
- Neurological Surgery Physician
- Kansas City, MO
National Provider Identifier
1528098795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- E-8916
- Practice address
- 4801 E Linwood Blvd
Kansas City, MO 64128-2226 - Phone
- (816) 861-4700
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 275131-1 | NY | |
| Neurological Surgery Physician | 207T00000X | MD19821 | ME | |
| Neurological Surgery Physician | 207T00000X | 37452 | MN | |
| Neurological Surgery Physician | 207T00000X | 40036 | WI | |
| Neurological Surgery Physician | 207T00000X | E-8916 | AR | Primary |
Addresses
Primary practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (816) 861-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34010600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8916 | AR | MD | Neurological Surgery Physician |
| MD19821 | ME | MD | Neurological Surgery Physician |
| 37452 | MN | MD | Neurological Surgery Physician |
| 275131-1 | NY | MD | Neurological Surgery Physician |
| 40036 | WI | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1528098795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-861-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-861-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIELS",
"first_name": "EDISON",
"middle_name": "PAXTON",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "275131-1",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "ME",
"license": "MD19821",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MN",
"license": "37452",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WI",
"license": "40036",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AR",
"license": "E-8916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34010600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.