Mark Joseph Edmunds, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00294 Issued in KY

Practice address

1610 S Main St
Ste. 9
Hopkinsville, KY 42240-1974

Phone

(270) 885-1203

Fax

(270) 885-1561

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Hopkinsville, KY, CCN 187124
• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: medmunds@ccfaac-ky.direct.office.nextgen.com

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

• Christian County Foot and Ankle Center, Inc

  • Podiatrist
  • Hopkinsville, KY
  • NPI 1295992873
  Medicare reassignment NPD Authorized official
• Dr. Mark J. Edmunds, DPM, P.L.L.C.

  • Podiatrist
  • Hopkinsville, KY
  • NPI 1225009459
  NPD (past) Authorized official
• Dr. Mark J. Edmunds, DPM, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Hopkinsville, KY
  • NPI 1760571707
  NPD (past) Authorized official

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

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1518990258
  Care Compare affiliation
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1679540702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S MAIN ST",
            "address_2": "STE. 9",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401974",
            "telephone_number": "270-885-1203",
            "fax_number": "270-885-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S MAIN ST",
            "address_2": "STE. 9",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401974",
            "telephone_number": "270-885-1203",
            "fax_number": "270-885-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00713506",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kyle Eaker, MSN, AGPCNP-BC
• Cody Earl
• Holden East
• John Timothy Ebert, MD
• Mark Anthony Edmonds
• Lydia Edwards
• Ryneka Edwards
• Jonathan Joseph Eisenhauer, PTA
• Serena Eldridge
• Elite Housecalls LLC

• Podiatrist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.