Edward Gwin M.D., LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

R5222 Issued in MO

Legal business name

EDWARD GWIN M.D., LLC

Practice address

1342 E Primrose St
Springfield, MO 65804-4279

Phone

(417) 886-2747

Fax

(417) 886-2774

NPI assigned

Nov 12, 2007

Last updated

Nov 12, 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. Edward Gwin, M.D.NPI 1871532283

Title

Owner

Phone

(417) 883-0487

Specialties & licenses 2

Addresses

Locations

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.

• Edward Gwin, MD

  • Pulmonary Disease Physician
  • Springfield, MO
  • NPI 1871532283
  Authorized official Same address or phone
• Suckhong Brian Kim, MD

  • Pulmonary Disease Physician
  • Springfield, MO
  • NPI 1922041839
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1639359250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 E MELBOURNE RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658045208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044279",
            "telephone_number": "417-886-2747",
            "fax_number": "417-886-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD GWIN M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "GWIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-883-0487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "R5222",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "R5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Eden, PA-C
• Rachael Metthea Edmunds, CRADC
• Kebah Frances Edoho
• Osamede Edokpolo, M.D
• Uma Kalyani Edupuganti, M.D
• Alice R Edwards, D.O.
• Christopher A. Edwards, MD
• Daniel Joseph Edwards, ATC
• Darrell Dewain Edwards
• Jamie Edwards, DPT

• Sleep Medicine (Internal Medicine) Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Sleep Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.