Duwayne Paul Edge, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J6416 Issued in TX

Practice address

2605 Amarillo St
Ingleside, TX 78362-5710

Phone

(361) 775-0961

NPI assigned

Feb 9, 2006

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Siloe Home Health & Infusion, LLC Home health agency, Rockport, TX, CCN 679686

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Duwayne P. Edge, P.a.

  • Family Medicine Physician
  • Ingleside, TX
  • NPI 1235450404
  Medicare reassignment NPD Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Siloe Home Health & Infusion, LLC

  • Home Health Agency
  • Rockport, TX
  • NPI 1073560694
  Care Compare affiliation

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1730152612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 AMARILLO ST",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783625710",
            "telephone_number": "361-775-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 AMARILLO ST",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783625710",
            "telephone_number": "361-775-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "DUWAYNE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101248603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Cleghorn, NP
• Carlee R Cole, PH.D., LPC, NCC
• Norman Crabb II, DO
• Dhanvis Health Care-2, LLC (Jays Pharmacy Ingleside)
• Duwayne P. Edge, P.a.
• Roy Michael Elias
• Elizabeth Elmore
• Faithful Modalities Medical Massage LLC
• Jason Paul Fechner, IDC
• Fonda Camren

• Family Medicine Physician in Ingleside, TX
• Providers in Ingleside, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.