Active NPI
Anthony Edwards, MD
- Pulmonary Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 10385620-1205
- Practice address
- 5323 Harry Hines Boulevard
Dallas, TX 75390-7201 - Phone
- (214) 645-6784
- Fax
- (214) 645-0078
- NPI assigned
- May 15, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q4394 | TX | |
| Hospitalist Physician | 208M00000X | Q4394 | TX | |
| Pulmonary Disease Physician | 207RP1001X | 10385620-1205 | UT | Primary |
Addresses
Primary practice location
5323 Harry Hines Boulevard
Dallas, TX 75390-7201
Mailing address
515 E 100 S Ste 200
Salt Lake City, UT 84102-2095
Phone (801) 581-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10044341 | Other | TX | STATE OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Colorado School of Medicine, Denver, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3584 W 9000
Suite 401
West Jordan, UT 84088-5712
Phone (801) 290-7156
Hospital & facility affiliations
- Holy Cross Hospital-Jordan Valley
- Uchealth Yampa Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10385620-1205 | UT | MD | Pulmonary Disease Physician |
| Q4394 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Silverton Group LLC | Hospitalist | Current | Accepting new patients |
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Physician Group of Utah Inc | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients |
Locations
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
3584 W 9000 S
Ste 401
West Jordan, UT 84088
Phone (801) 243-2596
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 6
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.
-
- Prescribing (Medical) Psychologist
- West Valley City, UT
- NPI 1942903562
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Hospitalist Physician
- Murray, UT
- NPI 1629303169
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
-
- Orthopaedic Surgery Physician
- Cottonwood Heights, UT
- NPI 1548962897
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Oak Creek, CO
- NPI 1164081345
-
- General Acute Care Hospital
- Hayden, CO
- NPI 1295394203
-
- General Acute Care Hospital
- Steamboat Springs, CO
- NPI 1790787307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1598024275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E 100 S STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022095",
"telephone_number": "801-581-2401",
"fax_number": "801-585-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BOULEVARD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907201",
"telephone_number": "214-645-6784",
"fax_number": "214-645-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q4394",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "Q4394",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "UT",
"license": "10385620-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TEXAS",
"identifier": "BP10044341",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.