Alan E Edwards, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

305023 Issued in WI

Practice address

625 E Saint Paul Ave
Milwaukee, WI 53202-5907

Phone

(414) 223-2727

Fax

(414) 223-2724

NPI assigned

Aug 24, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1700879871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E SAINT PAUL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025907",
            "telephone_number": "414-223-2727",
            "fax_number": "414-223-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E SAINT PAUL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025907",
            "telephone_number": "414-223-2727",
            "fax_number": "414-223-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALAN",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "305023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalisha Edmond, FNP
• Tracey Edmond, M.S. CCC-SLP
• Jason Nathaniel Edmonds, M.D.
• Tahirah Nakesha Edmonds, RN
• Edp of Wisconsin, PC
• Anna Margaret Edwards, OTR
• Belinda Edwards
• Brenda Edwards, MSE
• Chrystal Edwards, CNM
• Darrell Delmar Edwards I, SAC-IT

• Physician Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.