John Ray Edwards, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0005157 Issued in VT

Practice address

118 Pine St
Burlington, VT 05401-8421

Phone

(802) 658-2767

Fax

(802) 862-4062

NPI assigned

Mar 17, 2007

Last updated

Apr 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• C. Emma Burrous, PH.D., PLC

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1013264498
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270857600000",
    "number": "1649394552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018421",
            "telephone_number": "802-658-2767",
            "fax_number": "802-862-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018421",
            "telephone_number": "802-658-2767",
            "fax_number": "802-862-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHN",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2010-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0005157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005380",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James East, MD
• Hollis Andrew Easter
• Elissa A. Eaton, DMD, MS
• Luke J Eaton, CAA
• Birgit Eckstrom, DPT
• Mary Kathryn Edwards, RD
• Ania Marie Egan, RDN
• Gregory Lawrence Ehle, MMSC, PA-C
• Danielle Eileen Yerdon Ehret, M.D.
• Julie Melissa Ehrlich, MD

• Psychiatry Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; 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.