Individual provider Active NPI

Emily Ann Edwards

  • Podiatrist
  • Bellefontaine, OH
National Provider Identifier
1598339830
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.004095 Issued in OH
Practice address
1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017
Phone
(937) 651-6441
Fax
(937) 651-6442
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.004095 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X TRAINING OH

Addresses

Primary practice location

1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311-2281

Other practice location 1

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-9403

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lima Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000786 OH Practitioner - Podiatry 2961861810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

1134 N Main St
Suite 3100
Bellefontaine, OH 43311-0017
Phone (937) 651-3270

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of nail tissue101
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Jul 15, 2024 Accepting new patients
Mary Rutan Hospital CurrentSince Jul 15, 2024 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

1134 N Main St
Ste 3100
Bellefontaine, OH 43311
Phone (937) 592-9799

117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197

911 S Main St
Kenton, OH 43326
Phone (937) 404-9751

120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048

8200 State Route 366
Ste 8
Russells Pt, OH 43348
Phone (937) 292-5063

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1598339830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 3100",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110017",
            "telephone_number": "937-651-6441",
            "fax_number": "937-651-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-226-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.004095",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "TRAINING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lima",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "730 W Market St",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458014602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.