NPIMap

Individual provider Active NPI

Tyler Adam Edwards, M.D.

  • Family Medicine Physician
  • Farmington, NH
National Provider Identifier
1710042072
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11559 Issued in NH
Practice address
316 NH Route 11
Family Care of Farmington
Farmington, NH 03835-3843
Phone
(603) 755-9801
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11559 NH Primary

Addresses

Primary practice location

316 NH Route 11
Family Care of Farmington
Farmington, NH 03835-3843

Mailing address

316 NH Route 11
Family Care of Farmington
Farmington, NH 03835
Phone (603) 755-9801

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Other identifiers 1

IdentifierTypeStateIssuer
3077668MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000467 NH Practitioner - Family Practice 1254307168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11559NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation Family Medicine CurrentSince Oct 4, 2018 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 4, 2018 Accepting new patients
Seacoast Emergency Physicians, PC CurrentSince Aug 21, 2020 Accepting new patients
Seacoast Emergency Physicians PC CurrentSince Aug 21, 2020 Accepting new patients
Wentworth Douglass Hospital Past Accepting new patients

Locations

789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2263

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

701 Central Ave
Dover, NH 03820
Phone (603) 609-6700

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250

Interoperability endpoints

  • Direct secure messaging: edwards.tyler.wdh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710042072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NH ROUTE 11",
            "address_2": "FAMILY CARE OF FARMINGTON",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "03835",
            "telephone_number": "603-755-9801",
            "fax_number": "603-755-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NH ROUTE 11",
            "address_2": "FAMILY CARE OF FARMINGTON",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353843",
            "telephone_number": "603-755-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TYLER",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077668",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NH

Sources for this page

Verify at the official NPI Registry.