Individual provider Active NPI

Joshua Richard Edmunds, DO

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1669043907
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
339548 Issued in LA
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-1036
NPI assigned
Jul 7, 2021
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 339548 LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-1036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240307003578 LA Practitioner - Emergency Medicine 5799121117 Reassigns benefits to 5 organizations
I20250225000758 TX Practitioner - Emergency Medicine 5799121117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Hospital DistrictGroup PAC ID 6507149192, 20 clinicians
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians

Practice addresses (Care Compare)

125 Newman St
Fairfield, TX 75840-1419
Phone (903) 389-2121

2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
339548LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 8, 2024 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Jan 29, 2024 Accepting new patients
Fairfield Hospital District Current Accepting new patients
Kisatchie Emergency Group, LLC Emergency Medicine CurrentSince Jan 29, 2024 Accepting new patients
Webster Emergency Group LLC Emergency Medicine CurrentSince Apr 29, 2024 Accepting new patients
Fairfield Hospital District Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Dec 25, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 8, 2024 Accepting new patients
Fairfield Hospital District CurrentSince Jan 1, 2025 Accepting new patients

Locations

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

Interoperability endpoints

  • Direct secure messaging: fmcjedmun@yourcarecommunity.org
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/011a4a74-dd3f-4ea4-ba83-ca6efe6b6b57

Organizations & group practices 9

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 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1669043907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "JOSHUA",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "339548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.