John D Edwards MD, Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

JOHN D EDWARDS MD, INC

Practice address

7380 Turfway Rd
Florence, KY 41042-1355

Phone

(859) 962-4888

Fax

(859) 962-5991

NPI assigned

May 25, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John D Edwards, MDNPI 1124079249

Title

Owner/ President

Phone

(859) 962-4888

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John D Edwards, MD

  • Vascular Surgery Physician
  • Arlington Heights, IL
  • NPI 1124079249
  NPD (past) Authorized official
• Joseph G Protain, DO

  • Vascular Surgery Physician
  • Boardman, OH
  • NPI 1083669097
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1568418549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634607",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-891-2813",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 TURFWAY RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421355",
            "telephone_number": "859-962-4888",
            "fax_number": "859-962-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D EDWARDS MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "859-962-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC9797",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2688846",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65946063",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Lee LLC (Jenny Lee SLP)
• Elizabeth Jensen
• Lindsey Jensen
• Jibrini MD Associates PLLC
• Kartikkumar Jinjuvadia, MD
• John F. Young, DMD, PSC
• John Lang Chiropractic, LLC (Chiropractic Associates of Boone County)
• Angela Marie Johnson, LCSW
• Emily R Johnson, CD(DONA)
• Rick Alvin Johnson

• Vascular Surgery Physician in Florence, KY
• Providers in Florence, KY by specialty
• Vascular Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.