Active NPI
Thomas Craig Edwards, M.D.
- Pediatric Cardiology Physician
- Orlando, FL
National Provider Identifier
1629092960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME129114
- Practice address
- 13535 Nemours Pkwy
Orlando, FL 32827 - Phone
- (407) 567-4000
- Fax
- (407) 567-5924
- NPI assigned
- Jul 27, 2006
- Last updated
- Aug 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 35087738 | OH | |
| Pediatric Cardiology Physician | 2080P0202X | ME129114 | FL | Primary |
Addresses
Primary practice location
13535 Nemours Pkwy
Orlando, FL 32827
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2692788 | Medicaid | OH | |
| 018982900 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante-Korang Edwards Giroud Martinez McCormack & Suh MD PA | Pediatric Cardiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pediatric Cardiology Associates
- Pediatric Cardiology Physician
- St Petersburg, FL
- NPI 1366478109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1629092960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 CENTURION PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560532",
"telephone_number": "904-697-4127",
"fax_number": "904-697-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32827",
"telephone_number": "407-567-4000",
"fax_number": "407-567-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "THOMAS",
"middle_name": "CRAIG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OH",
"license": "35087738",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME129114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2692788",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018982900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.