Individual provider Active NPI

Ronald David Edwards, MD

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1700851912
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013021745 Issued in MO
Practice address
1130 E 32ND St
Joplin, MO 64804-4034
Phone
(417) 347-2273
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04 20555 KS
Family Medicine Physician 207Q00000X 2013021745 MO Primary

Addresses

Primary practice location

1130 E 32ND St
Joplin, MO 64804-4034

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662

Other practice location 1

1606 Olive St
Seneca, MO 64865-9247
Phone (417) 776-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20050512000464 KS Practitioner - Family Practice 0547201238 Reassigns benefits to 1 organization
I20131204000564 MO Practitioner - Emergency MedicinePractitioner - Family Practice 0547201238 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04 20555KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System CurrentSince Aug 27, 2013 Accepting new patients
Hospital District No 1 Crawford County Family Medicine CurrentSince Oct 3, 2019 Accepting new patients
Hospital District No 1 Crawford County Family Medicine CurrentSince Oct 3, 2019 Accepting new patients
Freeman-Oak Hill Health System Family Medicine CurrentSince Aug 27, 2013 Accepting new patients
Hospital District No 1 Crawford County Current Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

511 E Washington St
Arma, KS 66712
Phone (620) 347-4711

419 E Washington St
Arma, KS 66712
Phone (620) 347-4711

511 E Washington St
#667
Arma, KS 66712
Phone (316) 347-4711

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

1606 Olive St
Seneca, MO 64865
Phone (417) 776-5900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1700851912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044034",
            "telephone_number": "417-347-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 Olive St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "MO",
            "postal_code": "648659247",
            "country_code": "US",
            "telephone_number": "417-776-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04 20555",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013021745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.